Korean J Gastrointest Endosc.  1993 Sep;13(3):587-590.

Xanthogranulomatous Cholecystitis Complicated with Cholecystocolonic Fistula

• Lee HS
• Jeon HJ
• Song CW
• Lee SW
• Choi JH
• Kim CD
• Ryu HS
• Hyun JH

Abstract

Xanthogranulomatous cholecystitis is an uncommon inflammatory disease of the gall baldder characterised by a focal or diffuse destructive inflammatory process. The pathogenesis is uncertain, but an inflammatory response to extravasated bile due to acute inflammation and obstruction is likely. Macroscopically, the gall bladder wall is invariably thickened, and extensive adhesions to adjacent organs are frequent. Clinically, xanthogranulomatous cholecystitis can mimic gall bladder carcinoma and radiologic differential diagnosis is extremely difficult. Fistula to skin and duodenum was reported. We report the first case of cholecysto-colonic fistula due to xanthogranulomatous cholecystitis.

Keyword

Xanthogranulomatous cholecystitis; Cholecystocolonic fistula

MeSH Terms

Bile
Cholecystitis*
Diagnosis, Differential
Duodenum
Fistula*
Inflammation
Skin
Urinary Bladder