"HEPERECHOIC DOTS" AND "SMALL FAT DENSITIES" US AND CT SIGNS OF XANTHOGRANULOMATOUS CHOLECYSTITIS: A CASE REPORT

Authors

  • Darunee BOONJUNWETWAT Department of Radiology, Faculty of Medicine, Chulalongkorn University
  • Onrudi HOJAN Department of Radiology, Faculty of Medicine, Chulalongkorn University

Abstract

We reported the US and CT signs of a case proved to be xanthogranulomatous cholecystitis. Even one case was found, but the imaging features were characteristic correlating with the histopathology. If the preoperative diagnosis or awareness of the disease could be made, the proper planning for treatment would be gained. The US showed mark thickening of the gallbladder wall containing multiple fix hyperechoic dots without shadowing. Increased vascularity was demonstrated by color doppler study. The CT shows a soft tissue mass at the gallbladder bed having multiple small fat densities, associated with small calcification or stone.

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References

Ladefoged C, Lorentzen M. Xanthograuloma- tous cholecystitis. A clinicopathological study of 20 cases and review of the literature. APMIS. 101(11): 869-75, 1993 Nov

Houston JP, Sampson MA, Collins MC. Ultrasound diagnosis of the gallbladder perforation in a case of xanthogranulomatous cholecystitis. British Journal of Radiology. 62(735) 273-4, 1989 Mar

Hanada K, Nakata H, Nakayama T, Tsukamoto Y, Terashima H, Kurod Y, Okuma R.adiologic findings in xanthogranu- lomatous cholecystitis. American Journal of Roentgenology. 148(4) 727-30, 1987 Apr

Thomas E. Herbener. The gallbladder and biliary tract, Computer tomography and Magnetic resonance imaging of the whole body, 3rd edition 1994 Volume 2: 987

Brooke Jeffray, JR. Inflammatory and nonneo- plastic diseases of the llbladder, Margulis and Burhenne's Alimentary tract radiology, 5th edition 1994 Volume 2: 1289

Houston JP, Collins MC, Cameron I, Reed MW, Parsons MA, Roberts KM. Xanthogranulomatous cholecystitis. British Journal of Surgery. 81(7): 1030-2, 1994 Jul

Howard TJ, Bennion RS, Thompson JE Jr. Xanthgranulomatous cholecystitis: a chronic inflammatory pseudotumor of the gallblad- der. American Surgeon. 57(12): 821-4, 1991 Dec

Benhow EW. Xanthogranulomatous cho- lecystitis associated with carcinoma of the gallbladder. Postgraduate Medical Journal. 65(766) 528-31, 1989 Aug

Maeda T, Shimada M, Matsumata T, Adachi E, Taketomi A, Tashiro Y, Tsuneyoshi M, Sueishi K, Sugimachi K.Xanthogranulo- matous cholecystitis masquerading as gallbladder carcinoma. American Jorunal of Gastroenterology. 89(4): 628-30, 1994 Apr

Dao AH, Wong SW, Adkins RB Jr. Xantho- granulomatous cholecystitis. A clinical and pathologic study of twelve cases. American Surgeon. 55(1): 32-5, 1989 Jan

Christensen AH, Ishak KG. Benign tumors and pseudotumors of the gall bladder. Archives of patho-logy 1970; 90: 423-32

Roberts KM, Parsons MA. Xanthogranulo- matous cholecystitis clinicopathological study of 13 cases. Journal of Clinical pathology. 40(4): 412-7, 1987 Apr

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Published

2023-04-06

How to Cite

1.
BOONJUNWETWAT D, HOJAN O. "HEPERECHOIC DOTS" AND "SMALL FAT DENSITIES" US AND CT SIGNS OF XANTHOGRANULOMATOUS CHOLECYSTITIS: A CASE REPORT. ASEAN J Radiol [Internet]. 2023 Apr. 6 [cited 2025 Jan. 30];3(1):125-9. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/372

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