Shetty Archana, Rehan Mudasser, Geethamani V
Associate Professor, Department of Pathology, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
Associate Professor, Department of Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
J Clin Diagn Res. 2017 May;11(5):ED29-ED31. doi: 10.7860/JCDR/2017/27194.9906. Epub 2017 May 1.
Xanthogranulomatous Cholecystitis (XGC) is an uncommon inflammatory condition of gall bladder, which is often misdiagnosed as malignancy preoperatively, leading to extensive surgical resections which may not be necessary for the patient. Ducts of Luschka are a rare developmental variant of the biliary tree, which are prone to injury and bile leak during cholecystectomy. We report a case of a 52-year-old male patient who was taken up for surgery with a provisional diagnosis of chronic calculous cholecystitis. Intraoperative finding of dense adhesions, made the surgeons suspect malignancy. On histopathological examination, it was not only diagnosed as a case of XCG, but it also had florid ducts of Luschka, another rare variant needing documentation as it is a close mimicker of malignancy.
黄色肉芽肿性胆囊炎（XGC）是一种罕见的胆囊炎症性疾病，术前常被误诊为恶性肿瘤，导致进行广泛的手术切除，而这对患者可能并非必要。卢氏管是胆管树罕见的发育变异，在胆囊切除术中容易受损并发生胆漏。我们报告一例52岁男性患者，最初诊断为慢性结石性胆囊炎而接受手术。术中发现致密粘连，使外科医生怀疑为恶性肿瘤。经组织病理学检查，不仅诊断为XGC病例，还发现有明显的卢氏管，这是另一种罕见变异，因其酷似恶性肿瘤，故需要记录在案。
