2022 Volume 36 Issue 4 Pages 524-530
A 76-year-old man complaining of epigastric pain was admitted to our hospital. An upper gastrointestinal series revealed a submucosal tumor in the greater curvature of the antrum.
Imaging examinations revealed a thickening of the gallbladder wall with liver invasion and a thickening of the stomach wall in contact with the gallbladder. Unable to rule out the possibility of a gallbladder cancer invading the stomach and liver, we decided to perform a laparotomy. Intraoperatively, the gallbladder was found to be markedly adhered to the gallbladder bed and antrum of the stomach. No cancer cells were found in an intraoperative frozen section diagnosis. A gallbladder bed resection, distal gastrectomy, and gastrojejunostomy were performed. The pathological diagnosis showed xanthogranulomatous cholecystitis (XGC).
