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Xanthogranulomatous Cholecystitis

Clinical, Sonographic, and CT Findings in 26 Patients

J. A. Parra1, O. Acinas2, J. Bueno1, A. Güezmes2, M. A. Fernández3 and M. C. Fariñas4

1 Department of Radiology (Servicio de Radiodiagnóstico), Hospital Sierrallana, C/ Barrio de Ganzo s/n, Torrelavega 39300, Cantabria, España.
2 Department of Pathology, Hospital Sierrallana, Torrelavega 39300, Cantabria, España.
3 Department of Radiology, Hospital Universitario Marqués de Valdecilla, Avd. Valdecilla s/n, Santander 39008, Cantabria, España.
4 Infectious Diseases Unit, Hospital Universitario Marqués de Valdecilla, Santander 39008, Cantabria, España.



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  		Fig. 1. —60-year-old man with xanthogranulomatous cholecystitis. Sonogram shows thick hypoechoic band (cursors).

 


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  		Fig. 2. —73-year-old woman with xanthogranulomatous cholecystitis. Sonogram shows thickened gallbladder wall (cursors) with hypoechoic nodule (arrow), neck stone, and small pericholecystic fluid collection (c).

 


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  		Fig. 3A. —59-year-old woman with xanthogranulomatous cholecystitis. Contrast-enhanced CT scan shows thickened gallbladder wall. Note contrast enhancement in mucosa and hypodense outer band.

 


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  		Fig. 3B. —59-year-old woman with xanthogranulomatous cholecystitis. CT scan obtained 13 days after A shows smaller hypodense band. Note persistence of enhancement in mucosa.

 


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  		Fig. 4A. —60-year-old woman with xanthogranulomatous cholecystitis. Photograph of specimen from gallbladder shows xanthogranulomatous changes in wall. Xanthogranulomatous nodules appear as yellowish nodules.

 


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  		Fig. 4B. —60-year-old woman with xanthogranulomatous cholecystitis. Photograph shows histologic section of xanthogranulomatous nodule. (H and E, x 1)

 


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  		Fig. 4C. —60-year-old woman with xanthogranulomatous cholecystitis. Sonogram shows nodule (cursors) as well-defined hypoechoic mass.

 

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