A Case of Perforated Xanthogranulomatous Cholecystitis Presenting as Biloma / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 153-156, 2011.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-84301
Biblioteca responsável:
WPRO
ABSTRACT
Xanthogranulomatous cholecystitis is an unusual inflammatory disease of the gallbladder characterized by severe proliferative fibrosis and the accumulation of lipid-laden macrophages in areas of destructive inflammation. Its macroscopic appearance may occasionally be confused with gallbladder carcinoma. We present a case of perforated xanthogranulomatous cholecystitis presenting as biloma. An 80-year-old woman was referred to our hospital with a 1-week history of abdominal pain and febrile sensation. Abdominal CT showed a biloma in the subhepatic area. The follow-up CT showed that the biloma increased in size. Therefore, ultrasonography-guided aspiration was performed. The aspirated fluid/serum bilirubin ratio was greater than 5, which was strongly suggestive of bile leakage complicated by perforated cholecystitis. She underwent a laparoscopic cholecystectomy with cyst aspiration and adhesiolysis. A histological diagnosis of perforated xanthogranulomatous cholecystitis was made.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Bilirrubina
/
Colecistectomia
/
Xantomatose
/
Tomografia Computadorizada por Raios X
/
Drenagem
/
Colecistite
/
Neoplasias da Vesícula Biliar
/
Granuloma
Limite:
Idoso
/
Idoso, 80 anos ou mais
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2011
Tipo de documento:
Artigo