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Kim, Cho, and Park: Xanthogranulomatous Cholecystitis Not Associated with Gallstone in a 9-year-old Girl
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 77(1): 72-74.

Published online: 3 July 2009

DOI: https://doi.org/10.4174/jkss.2009.77.1.72

Xanthogranulomatous Cholecystitis Not Associated with Gallstone in a 9-year-old Girl

Haeyoung Kim, M.D., Yonghoon Cho, M.D., Jaehong Park, M.D.1

Department of Pediatric Surgery, Pusan National University Children's Hospital, Busan, Korea.

1Department of Pediatircs, Pusan National University Children's Hospital, Busan, Korea.

Corresponding author (dr-cyh@hanmail.net)

Received 18 November 2008       Accepted 23 January 2009

Copyright © 2009 The Korean Surgical Society

Abstract

Xanthogranulomatous cholecystitis (XGC) is known to be a rare, variant type of chronic cholecystitis and more frequently found in the adults with a prevalence of 0.7 to 13.2% of all cholecystitis, moreover very rare in children. Clinically, this usually presents as chronic or acute cholecystitis associated with gallstones, but biliary colic is unusual. Although it requires surgery for management, it may accompany some difficulties during cholecystectomy and postoperative complications such as biliary fistula. It could also give rise to higher conversion rates than other diseases of the gallbladder during laparoscopic procedures. We experienced a very rare pediatric case of xanthogranulomatous cholecystitis not associated with gallstones, successfully managed by laparoscopic cholecystectomy and hereby report it with literature reviews.

Keywords: Xanthogranulomatous cholecystitis, Child, Laparoscopic cholecystectomy

Figures and Tables

Fig. 1
Ultrasonography showed thickened gallbladder wall with intramural mass-like lesions.
jkss-77-72-g001
Fig. 2
Pericholecystic fluid collection and intramural nodules at the liver bed in the computerized tomography of abdomen.
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Fig. 3
T2 magnetic resonance imaging showed multiple intramural lesions in the gallbladder.
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Fig. 4
Histologic finding confirms an infiltration of lymphocytes and plasma cell (H&E, ×200). (Inset) An aggregation of foamy histiocytes (arrow) characterizing the xanthogranulomatous cholecystitis (×400).
jkss-77-72-g004

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