Camacho-Lopez JE, Morales-Sanchez FF, Rochin-Teran JL, Moreno-Ortíz JM, Arce-Bojórquez B, Montoya-Moreno M, Rivera-Quintero SJ, Ramírez-de-Arellano A

Language: Spanish
References: 9
Page: 151-163
PDF size: 663.79 Kb.

ABSTRACT

Xanthogranulomatous cholecystitis is a chronic inflammatory disease of the gallbladder, in which there is a diffuse or focal nodular mural thickening, associated with involvement of pericholecystic fat and adjacent structures; therefore, it represents a great diagnostic challenge, since its main differential is gallbladder carcinoma, because both entities share very similar clinical, biochemical and radiological characteristics. We present the case of a female patient treated at the Civil Hospital of Culiacán in December 2023; where the preoperative diagnosis of xanthogranulomatous cholecystitis was made by the different imaging methods available in our center (ultrasound, computed tomography and magnetic resonance imaging), however, the main differential diagnosis by the treating service before surgery was gallbladder carcinoma. The objective of this article is to establish the radiological characteristics to optimize the diagnosis and offer accurate and timely treatment that has a significant impact on the patient's prognosis; thus reducing the high morbidity and mortality from unnecessary radical surgeries, as well as prolonged hospital stays that increase health costs.

REFERENCES

1. Linares SLM, González SRC, Lobato SAD,Lozada LR, Isla SLG, Galera SAG. Colecistitis xantogranulomatosa ¿sabemos identificarla? SERAM. 2022;1(1).

2. González DMA, Ballen DM, Cano DF, PrietoDB, Macia DMC, Vargas L, et al. ColecistitisXantogranulomatosa vs cáncer de vesícula.SERAM. 2022;1(1).

3. Singh VP, Rajesh S, Bihari C, Desai SN,Pargewar SS, Arora A. Xanthogranulomatous cholecystitis: What every radiologistshould know. World J Radiol. 2016;8(2):183.

4. Rammohan A, Cherukuri SD, SathyanesanJ, Palaniappan R, Govindan M. Xanthogranulomatous cholecystitis masquerading asgallbladder cancer: ¿Can it be diagnosedpreoperatively ?Gastroenterol Res Pract.2014; 2014:1–5.

5. Rajaguru K, Mehrotra S, Lalwani S, ManglaV, Mehta N, Nundy S. New scoring systemfor differentiating Xanthogranulomatouscholecystitis from gall bladder carcinoma: atertiary care centre experience. ANZ J Surg.2018; 88(1–2).

6. Tokgöz S, Akkoca M, Yılmazer D, Balas S,Azılı C, Yılmaz KB, et al. An Analysis of Xanthogranulomatous Cholecystitis Cases. Ankara Üniversitesi Tıp Fakültesi Mecmuası2018, 71 (1).

7. Ito R, Kobayashi T, Ogasawara G, Kono Y,Mori K, Kawasaki S. A scoring system basedon computed tomography for the correct diagnosis of Xanthogranulomatous cholecystitis. Acta Radiol Open. 2020;9(4):205846012091823.

8. Shuto R, Kiyosue H, Komatsu E, MatsumotoS, Kawano K, Kondo Y, et al. CT and MRimaging findings of xanthogranulomatouscholecystitis: correlation with pathologic findings. Eur Radiol. 2004;14(3):440–6.

9. Zhao F, Lu P-X, Yan S-X, Wang G-F, YuanJ, Zhang S-Z, et al. CT and MR features ofxanthogranulomatous cholecystitis: An analysis of consecutive 49 cases. Eur J Radiol.2013;82(9):1391-1397.