A rare Pathology of Difficult Laparoscopic Cholecystectomy: Xanthogranulomatous Cholecystitis. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2018]

Author(s):

1. Charanjit Singh Milkhu: Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, UK

2. Fazain Jarral: Barnsley Hospital NHS Foundation Trust, UK

3. Daniel Raw: Barnsley Hospital NHS Foundation Trust, UK

4. Ajaykumar Maliyakkal: Barnsley Hospital NHS Foundation Trust, UK

5. Adam Fadra: Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, UK

6. Muhammad Hanif Shiwani: Barnsley Hospital NHS Foundation Trust, UK

Abstract:

Xanthogranulomatous cholecystitis (XGC) is a rare inflammatory condition of the gallbladder (GB). Preoperatively, it is a diagnostic challenge. One thousand and seventy-nine laparoscopic cholecystectomy (LC) patients from September 2012 to June 2015 were retrospectively reviewed. Fourteen patients were identified with XGC. An analysis was carried out on this group of patients looking at postoperative pathology results, preoperative radiology, operative findings and outcome. The overall frequency of XGC was 1.3%. A thick walled GB was found in 11 patients on preoperative imaging. Retrospectively suggestive feature thick gallbladder walls with low attenuation mural nodules. No suspicion of cancer was demonstrated in the final histology or preoperatively. Five cases (36%) perforated intraoperatively. Although all were surgically challenging, no conversions to open were performed. The perforation risk could be higher. A difficult cholecystectomy should alert a surgeon to consider XGC as a diagnosis. Contrary to the popular belief, XGC was found to be difficult to differentiate from infection rather than malignancy.

Page(s): 330-331

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 28, Issue: 4, Year: 2018

Keywords:

Keywords are not available for this article.

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