Case report of xanthogranulomatous cholecystitis, review of its sonographic and magnetic resonance findings, and distinction from other gallbladder pathology

Authors

  • Nathan D Cecava
  • Robert S Andrews

DOI:

https://doi.org/10.3941/jrcr.v5i4.696

Keywords:

Xanthogranulomatous cholecystitis, adenomyomatosis, gallbladder MRI

Abstract

A case of xanthogranulomatous cholecystitis is presented with a brief review of its sonographic and magnetic resonance features.  These imaging features are also compared to those seen in gallbladder adenomyomatosis and gallbladder carcinoma.  While there are many overlapping imaging findings in these entities, it is important to recognize distinguishing characteristics so a correct surgical approach is chosen.  Laparoscopic cholecystectomy attempted with existing xanthogranulomatous cholecystitis has an increased surgical complication rate compared to open cholecystectomy and often necessitates intraoperative conversion to open cholecystectomy.

Author Biographies

Nathan D Cecava

Radiology Resident, Department of Radiology, Wilford Hall Medical Center, Lackland Air Force Base, Texas

2200 Berquist Dr. , Lackland AFB, Texas, 78236, USA

Robert S Andrews

Chief, 374th Diagnostic Imaging Flight, Yokota Air Base, Japan

Unit 5225 APO, AP 96328-5225, USA

Published

2011-04-09

Issue

Section

Gastrointestinal Radiology