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Pre-operative diagnosis of Xanthogranulomatous Cholecystitis

Pradipta Kishore Khuntia,Niranjan Moharana,Abdul Rehman Siddiqui.




Abstract
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Background: The primary objective of our study was to review the portfolio of patients with xanthogranulomatous cholecystitis and their outcomes.
Methods: Retrospective analysis of information on 64 patients was done to examine age, clinical symptoms and findings, preoperative screening, operational results, surgical history, length of hospital stay, and postoperative problems.
Result: There were 44 women and 56 males, with a mean age of 55 ±11.4 years. Out of 100 patients, 57 had gallbladder stones, 12 had adenomyomatosis plus stones, and 3 had polyps, according to preoperative ultrasonography. 4 individuals had acute cholecystitis, while 14 had chronic cholecystitis. 5 of the 11 individuals who underwent abdominal computed tomography had thickening of the gallbladder wall. In 4 cases, frozen section exams were performed, 1 patient underwent a radical cholecystectomy because of probable malignancy.
Conclusion: Diagnosis of xanthogranulomatous cholecystitis on the basis of preoperative or intraoperative diagnosis of is challenging, and pathologic evaluation is the only method that may provide a conclusive answer.

Key words: Xanthogranulomatous cholecystitis, Inflammation, Gallbladder, Gallstones, Carcinoma






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