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} </script> <script src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script> </ul> </div> </nav> <div class="container-fluid bg-grey"> <div class="container pt-3 pb-4"> <div class="white-container mt-4"> <h2 class="bg-hdr">Xanthogranulomatous Cholecystitis Pseudotumoral: About A Case</h2> <p style="padding-top: 8px;"><span lang="en">Xanthogranulomatous cholecystitis is a rare form of chronic cholecystitis that its clinical presentation, radiological and even can simulate a macroscopic cancer of the gallbladder. the etiology remains unclear, the most plausible hypothesis is a chronic infection of the gallbladder with default discharge of bile. We report a case of xanthogranulomatous cholecystitis operated with the diagnosis of suspected cancer of the gallbladder and whose diagnosis was established by histological examination.</span></p> <p style="padding-top: 8px;"><strong>OBSERVATION:</strong> <br>This is the patient KN 63ans old admitted through the emergency room for care more defense dune pain right hypochondrium with vomiting and fever 38.3 ° C and leukocytosis with biology.<br><span lang="en">An ultrasound abdominal which objective was achieved: a calculous gallbladder wall thickening seat cubicle hypoechogene The patient was admitted for treatment acute calculous cholecystitis dune.<br>After a treatment based on antibiotics and analgesics was performed abdominal scanner  which aim thickened gallbladder lithiasis with invasion of segment4 with the presence of several nodes pedicle; gallbladder suspicious?</span></p> <p style="padding-top: 8px;"><span lang="en">The patient was operated on eight days after admission for acute gallstone cholecystitis (gallbladder suspect) n extemporaneous examination was not available, anapath final specimen is returned for fibrous reaction with an inflammatory granuloma multiforme rich histiocytic cells and absence of any sign of malignancy: This aspect was in favor of xanthogranulomatous cholecystitis</span></p> <p style="padding-top: 8px;"><strong>DISCUSSION:</strong><br><span lang="en">Xanthogranulomatous cholecystitis is a rare form of chronic cholecystitis can simulate gallbladder cancer biliary both clinically, radiologically as macroscopically. While the etiology remains unclear, the most plausible is a chronic infection the absence of gallbladder with bile evacuation.</span></p> <p style="padding-top: 8px;"><strong>CONCLUSION:</strong> <br>Despite advances in medical imaging, the diagnosis of xanthogranulomatous cholecystitis, in its pseudo-tumor remains difficult preoperatively. The differential diagnosis especially with gallbladder cancer, which can lead to a disproportionate surgery</p> <p style="padding-top: 8px;"><strong><span lang="en">bibliography:</span></strong></p> <ol> <li><span>McCoy</span><span> JJ, Vila R, </span><span>Petrossian</span><span> G, et al (1976) </span><span>Xanthogranulomatous</span><span> </span><span>cholecystitis</span><span>. JSC Med </span><span>Assoc</span><span> 72:781–9</span></li> <li><span>Goodman ZD, </span><span>Ishak</span><span> KG (1981) </span><span>Xanthogranulomatous</span><span> </span><span>cholecystitis</span><span>. Am J </span><span>Surg</span><span> </span><span>Pathol</span><span> 5:653–6</span></li> <li><span>Ros PR, Goodman ZD (1997) </span><span>Xanthogranulomatous</span><span> </span><span>cholecystitis</span><span> versus </span><span>gallbladder</span><span> </span><span>carcinoma</span><span>. </span><span>Radiology</span><span> 203:10–2</span></li> <li><span>Guzman-Valdivia G (2004) </span><span>Xanthogranulomatous</span></li> </ol> <div class="border-top py-2"><b>Posted by: </b>zatir soufiane, general surgeon, militery university hospital oran, Algeria (<span class="f-sm">09-Nov-2012</span>)</div> </div> </div> </div> <div class="container_fluid"> <div class="bg-footer"> <div class="container py-4"> <div class="d-flex justify-content-center pt-4"> <div class="text-center f-sm"> <a href="/" title="Home page" class="text-grey me-2">Home</a><span class="me-1">|</span> <a href="/international-conferences/" title="Conferences" class="text-grey me-1">Conferences</a><span 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