Pinocy Jürgen, Lange Antje, König Claudius, Kaiserling Edwin, Becker Horst D, Kröber Stefan M
Department of Surgery, University of Tübingen, Liebermeisterstrasse 8, 72076 Tübingen, Germany.
Langenbecks Arch Surg. 2003 Mar;388(1):48-51. doi: 10.1007/s00423-003-0362-x. Epub 2003 Mar 20.
Xanthogranulomatous cholecystitis is a macrophage-rich inflammatory condition of the gallbladder that occasionally presents with tumorlike appearance.
In the present case the inflammation involved all the layers of the gallbladder, the surrounding connective tissue, and part of the right lobe of the liver and right transverse colon. The clinical and radiological findings were suggestive of advanced carcinoma of the gallbladder. However, intraoperative frozen section investigation revealed xanthogranulomatous cholecystitis, for which simple cholecystectomy is the treatment of choice.
The original cause of the condition is unclear in most cases. In the present case it is possible that rupture of the gallbladder in association with the patient's known history of trauma have initiated the process.
黄色肉芽肿性胆囊炎是一种富含巨噬细胞的胆囊炎症性疾病，偶尔表现出肿瘤样外观。
在本病例中，炎症累及胆囊全层、周围结缔组织以及肝右叶和右横结肠的一部分。临床和影像学检查结果提示为晚期胆囊癌。然而，术中冰冻切片检查显示为黄色肉芽肿性胆囊炎，对此单纯胆囊切除术是首选治疗方法。
在大多数情况下，该病的病因尚不清楚。在本病例中，胆囊破裂可能与患者已知的创伤史有关，从而引发了这一过程。
