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Simultaneous Xanthogranulomatous Cholecystitis and Gallbladder Cancer in a Patient with a Large Abdominal Aortic Aneurysm

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초록

There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.

Abstract

There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.

참고문헌 (10)

  1. Parra JA, "Xanthogranulomatous cholecystitis: clinical, sonographic, and CT findings in 26 patients", AJR Am J Roentgenol, 174, pp.979~983 (2000)
  2. Benbow EW, "Xanthogranulomatous cholecystitis associated with carcinoma of the gallbladder", Postgrad Med J, 65, pp.528~531 (1989)
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  4. Kim PN, "Xanthogranulomatous cholecystitis: radiologic findings with histologic correlation that focuses on intramural nodules", AJR Am J Roentgenol, 172, pp.949~953 (1999)
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  6. Kansakar PB, "Xanthogranulomatous cholecystitis: a clinicopathological study from a tertiary care health institution", Kathmandu Univ Med J, 6, pp.472~475 (2008)
  7. Srinivas GN, "Perfidious gallbladders: a diagnostic dilemma with xanthogranulomatous cholecystitis", Ann R Coll Surg Engl, 89, pp.168~172 (2007)
  8. Georgopoulos S, "Combined abdominal aortic aneurysmectomy and other abdominal operations", Scand J Surg, 93, pp.61~63 (2004)
  9. Fry RE, "Cholelithiasis and aortic reconstruction: the problem of simultaneous surgical therapy. Conclusions from a personal series", J Vasc Surg, 4, pp.345~350 (1986)
  10. Thomas JH, "Aortoiliac reconstruction combined with nonvascular operations", Am J Surg, 146, pp.784~787 (1983)

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