Korean J Intern Med.  2012 Sep;27(3):338-341. 10.3904/kjim.2012.27.3.338.

Simultaneous Xanthogranulomatous Cholecystitis and Gallbladder Cancer in a Patient with a Large Abdominal Aortic Aneurysm

• Al-Abed Y
• Elsherif M
• Firth J
• Borgstein
• Myint F

• KMID: 1776526
• DOI: http://doi.org/10.3904/kjim.2012.27.3.338

Abstract

There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.

Keyword

Xanthogranulomatous cholecystitis; Gallbladder neoplasms; Aortic aneurysm, abdominal

MeSH Terms

Adenocarcinoma/*complications/radiography/secondary/surgery
Aged
Aortic Aneurysm, Abdominal/*complications/radiography/surgery
Biopsy
Blood Vessel Prosthesis Implantation
Cholecystectomy
Cholecystitis/*complications/pathology/radiography/surgery
Endovascular Procedures
Female
Gallbladder Neoplasms/*complications/pathology/radiography/surgery
Granuloma/*complications/pathology/radiography/surgery
Humans
Tomography, X-Ray Computed
Treatment Outcome
Xanthomatosis/*complications/pathology/radiography/surgery