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Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Case Reports
Xanthgranulomatous Cholecystisis
Hideyoshi ToyokawaMasanori Kon (A-Hon Kwon)
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JOURNAL FREE ACCESS

2009 Volume 23 Issue 4 Pages 649-653

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Abstract
Abstract: Xanthgranulomatous cholecystitis (XGC) is an usual disease and considered as uncommon variant of chronic cholecystitis resulting in the development of a granulomatous inflammation, mainly consisting of xanthoma cells containing bile pigments. Laparoscopic cholecystectomy is frequently unsuccessful with a relatively high conversion rate to open cholecystectomy because of its pathologic feature. Pre and intra-operative diagnosis is difficult and it often mimics a gallbladder carcinoma. Therefore, detailed radiological and histological exploration is necessary to avoid over surgery with misdiagnosis, and intra-operative frozen section histology is helpful to differentiate XGC from gallbladder carcinoma.
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© 2009 Japan Biliary Association
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