Simultaneous xanthogranulomatous cholecystitis and gallbladder cancer in a patient with a large abdominal aortic aneurysm

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 cholecyst...

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Bibliographic Details
Published in:The Korean journal of internal medicine 2012, 27(3), , pp.338-341
Main Authors: Al-Abed, Yahya, Elsherif, Mohammed, Firth, John, Borgstein, Rudi, Myint, Fiona
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - secondary
Adenocarcinoma - surgery
Aged
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Biopsy
Blood Vessel Prosthesis Implantation
Case Report
Cholecystectomy
Cholecystitis - complications
Cholecystitis - diagnostic imaging
Cholecystitis - pathology
Cholecystitis - surgery
Endovascular Procedures
Female
Gallbladder Neoplasms - complications
Gallbladder Neoplasms - diagnostic imaging
Gallbladder Neoplasms - pathology
Gallbladder Neoplasms - surgery
Granuloma - complications
Granuloma - diagnostic imaging
Granuloma - pathology
Granuloma - surgery
Humans
Tomography, X-Ray Computed
Treatment Outcome
Xanthomatosis - complications
Xanthomatosis - diagnostic imaging
Xanthomatosis - pathology
Xanthomatosis - surgery
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Description
Summary: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.
ISSN:1226-3303
2005-6648
DOI:10.3904/kjim.2012.27.3.338