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肝脏平面融合处的黄色肉芽肿性胆囊炎。

Xanthogranulomatous cholecystitis on fusion of the planes of the liver.

作者信息

Zakaria Zouaki, Meriem Boui, Redouane Roukhsi, Nabil Hammoune, Badr Slioui, Salah BenElhend, Salah Bellasri, Mehdi Atmane, Abdelilah Mouhsine

机构信息

Department of Radiology, Avicenne Military Hospital, Marrakech, Morocco.

出版信息

Radiol Case Rep. 2021 Nov 12;17(1):208-211. doi: 10.1016/j.radcr.2021.10.034. eCollection 2022 Jan.

DOI:10.1016/j.radcr.2021.10.034
PMID:34820042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8598969/
Abstract

Xanthogranulomatous cholecystitis (CXG) is a rare entity of cholecystitis, characterized by the presence of xanthogranulomas within the gallbladder wall, that could be misdiagnosed as a vesicular carcinoma. We report a case of 66-year-old man with xanthogranulomatous cholecystitis associated with an incidental finding of a fusion of the planes of the liver which is a rare anatomic variant. Imaging especially ultrasounds, CT scan, and MRI play a key role in the characterization of those anomaly, thus avoiding a non-suitable surgical procedure.

摘要

黄色肉芽肿性胆囊炎（CXG）是一种罕见的胆囊炎类型，其特征是胆囊壁内存在黄色肉芽肿，可能被误诊为胆囊癌。我们报告一例66岁男性患有黄色肉芽肿性胆囊炎，并偶然发现肝脏平面融合，这是一种罕见的解剖变异。影像学检查，尤其是超声、CT扫描和MRI，在这些异常的特征性诊断中起着关键作用，从而避免不适当的手术操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7144/8598969/8266819a2fb9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7144/8598969/cba42bcaa414/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7144/8598969/8266819a2fb9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7144/8598969/cba42bcaa414/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7144/8598969/8266819a2fb9/gr2.jpg

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本文引用的文献

1
Expression of GLUT-1 and GLUT-3 in xanthogranulomatous cholecystitis induced a positive result on ¹⁸F-FDG PET: report of a case.葡萄糖转运蛋白1（GLUT-1）和葡萄糖转运蛋白3（GLUT-3）在黄色肉芽肿性胆囊炎中的表达使¹⁸F-FDG PET检查呈阳性结果：病例报告
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CT and MR features of xanthogranulomatous cholecystitis: an analysis of consecutive 49 cases.胆囊黄肉芽肿性炎的 CT 和 MRI 特征：连续 49 例分析。
Eur J Radiol. 2013 Sep;82(9):1391-7. doi: 10.1016/j.ejrad.2013.04.026. Epub 2013 May 29.
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Xanthogranulomatous cholecystitis: the use of preoperative CT findings to differentiate it from gallbladder carcinoma.
黄色肉芽肿性胆囊炎：利用术前CT表现将其与胆囊癌相鉴别
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Surgical treatment of xanthogranulomatous cholecystitis: experience in 33 cases.黄色肉芽肿性胆囊炎的外科治疗：33例经验
Hepatobiliary Pancreat Dis Int. 2007 Oct;6(5):504-8.
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Gallbladder mass with a carbohydrate antigen 19-9 level in the thousands: malignant or benign pathology? Report of a case.胆囊肿物伴糖类抗原19-9水平达数千：恶性还是良性病变？病例报告
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Fusion of the midplane with the left intersectional plane: a liver anatomical variation revisited with multidetector-row CT.中平面与左交叉平面融合：利用多排探测器CT重新审视一种肝脏解剖变异
Eur Radiol. 2006 Aug;16(8):1699-708. doi: 10.1007/s00330-006-0245-y. Epub 2006 Apr 20.
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Xanthogranulomatous cholecystitis: importance of chemical-shift gradient-echo MR imaging.黄色肉芽肿性胆囊炎：化学位移梯度回波磁共振成像的重要性
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Fine needle aspiration cytology in xanthogranulomatous cholecystitis, gallbladder adenocarcinoma and coexistent lesions.细针穿刺细胞学检查在黄色肉芽肿性胆囊炎、胆囊腺癌及并存病变中的应用
Acta Cytol. 2000 Jul-Aug;44(4):508-14. doi: 10.1159/000328522.
9
Xanthogranulomatous cholecystitis: radiologic findings with histologic correlation that focuses on intramural nodules.黄色肉芽肿性胆囊炎：影像学表现与组织学相关性，重点关注壁内结节
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MR imaging of xanthogranulomatous cholecystitis.
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