全膝关节置换术后黄色肉芽肿性胆囊炎的成功治疗

Successful Treatment of Xanthogranulomatous Cholecystitis Following Total Knee Replacement.

作者信息

League Matthew, Eick John

机构信息

Internal Medicine, Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, USA.

Internal Medicine, Methodist University Hospital, Memphis, USA.

出版信息

Cureus. 2023 Aug 31;15(8):e44474. doi: 10.7759/cureus.44474. eCollection 2023 Aug.

DOI:10.7759/cureus.44474

PMID:37791192

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544352/

Abstract

Xanthogranulomatous cholecystitis (XGC) is a rare form of chronic gallbladder inflammation that most commonly presents as acute cholecystitis and is often mistaken for carcinoma of the gallbladder. This case details the hospital course and follow-up of a 77-year-old male who developed suspected acute acalculous cholecystitis (AAC) resulting in severe sepsis after elective left total knee arthroplasty (TKA). Histopathological findings after elective cholecystectomy later revealed XGC as the underlying etiology.

摘要

黄色肉芽肿性胆囊炎（XGC）是一种罕见的慢性胆囊炎症形式，最常表现为急性胆囊炎，且常被误诊为胆囊癌。本病例详细介绍了一名77岁男性患者的住院过程及随访情况，该患者在择期左全膝关节置换术（TKA）后发生疑似急性非结石性胆囊炎（AAC），并导致严重脓毒症。择期胆囊切除术后的组织病理学检查结果后来显示，潜在病因是XGC。