복강내 담즙종으로 발현한 천공성 황색육아종성 담낭염 1예

• Published in: The Korean journal of gastroenterology pp. 153 - 156
• Main Authors: 안연정, 김태효, 문성원, 최수녕, 김현진, 정운태, 이옥재, 고경혁
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.09.2011
• Subjects: 내과학
• ISSN: 1598-9992; 2233-6869

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. KCI Citation Count: 0