Korean Journal of Gastrointestinal Endoscopy 1993;13(3): 587-590.
담낭-대장누공을 유발한 황색 육아종성 담낭염 1예 ( Xanthogranulomatous Cholecystitis Complicated with Cholecystocolonic Fistula )
이홍식, 전훈재, 송치욱, 이상우, 최재현, 김창덕, 류호상, 현진해 (Hong Sik Lee, Hun Jai Jeon, Chi Wok Song, Sang Woo Lee, Jae Hyun Choi, Chang Duck Kim, Ho Sang Ryu and Jin Hai Hyun)
Abstract
Xanthogranulomatous cholecystitis is an uncommon inflammatory disease of the gall baldder characterised by a focal or diffuse destructive inflammatory process. The pathogenesis is uncertain, but an inflammatory response to extravasated bile due to acute inflammation and obstruction is likely. Macroscopically, the gall bladder wall is invariably thickened, and extensive adhesions to adjacent organs are frequent. Clinically, xanthogranulomatous cholecystitis can mimic gall bladder carcinoma and radiologic differential diagnosis is extremely difficult. Fistula to skin and duodenum was reported. We report the first case of cholecysto-colonic fistula due to xanthogranulomatous cholecystitis.
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