Analysis of Misdiagnosis of Eight Cases of Xanthogranulomatous Cholecystitis
XIE Hui
WANG Jin-jiang
Abstract：Objective To investigate the clinical features and causes of misdiagnosis of gallbladder calcu-lous cholecystitis ( XGC) , so as to improve the level of diagnosis and treatment. Methods A retrospective analysis was performed to analyze the clinical data of 8 case of XGC misdiagnosed as gallbladder cancer. Results All pa-tients in this group had distension and pain in right upper abdomen, which were misdiagnosed as gallbladder cancer. The average duration of misdiagnosis was (44. 38 ± 10. 62) h. All the patients underwent surgical resection, and were diagnosed as XGC based on the postoperative pathological examination, including 2 cases of infection by inci-sion, and 1 with inflammatory biliary stenosis. They were followed up for 3 months to 1 year after discharge. The pa-tient with inflammatory biliary stenosis developed obstructive jaundice at 6 months after operation, for which ERCP +stent implantation was performed, and the patient recovered well. The prognosis of other 7 case was favorable. Con-clusion The clinical symptoms of XGC are not specific, therefore, early diagnosis can effectively avoid misdiagnosis and mistreatment, and improve the prognosis of patients.
Keywords：Xanthogranulomatous cholecystitisMisdiagnosisGallbladder cancer
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 19-21 )