Korean J Pancreas Biliary Tract.  2015 Jul;20(3):156-161. 10.15279/kpba.2015.20.3.156.

Gastric Outlet Obstruction arising from Xanthogranulomatous Cholecystitis accompanied by both Cholecystoduodenal and Cholecystocolonic Fistulas

• Cho HJ
• Park JS
• Kim JH
• Jeon DO
• Kim KH
• Kwon KW

• KMID: 2448492
• DOI: http://doi.org/10.15279/kpba.2015.20.3.156

Abstract

Xanthogranulomatous cholecystitis (XGC) is a rare type of chronic inflammation of the gallbladder characterized by focal or diffuse destructive inflammatory responses. Although it is a benign condition, its destructive course may lead to more aggressive outcomes of the gallbladder, such as local infiltration, fistula, stricture, and perforation as compared with other gallbladder inflammations. There are reports about XGC accompanied by cholecystoenteric fistula. However, XGC accompanied by more than one cholecystoenteric fistula is rare. We report a case of a 54-year-old man with gastric outlet obstruction arising from XGC, accompanied by cholecystoduodenal fisula and cholecystocolonic fistula, but without impacted gallstones.

Keyword

Xanthogranulomatous cholecystitis; Cholecystoduodenal fistula; Cholecystocolonic fistula; Gastric outlet obstruction

MeSH Terms

Cholecystitis*
Constriction, Pathologic
Fistula*
Gallbladder
Gallstones
Gastric Outlet Obstruction*
Humans
Inflammation
Intestinal Fistula
Middle Aged