Xanthogranulomatous cholecystitis: sonographic and CT features and differentiation from gallbladder carcinoma: a pictorial essay

The imaging features of xanthogranulomatous cholecystitis closely resemble those of gallbladder carcinoma, especially those of the wall-thickening variety. There is an overlap between these two conditions with respect to the clinical features and certain imaging findings. However, certain finer deta...

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Bibliographic Details
Published in:Japanese journal of radiology 2012-07, Vol.30 (6), p.480-485
Main Authors: Shetty, Gurucharan S., Abbey, Pooja, Prabhu, Shailesh M., Narula, Mahender K., Anand, Rama
Format: Article
Language:English
Subjects:
Adult
Aged
Cholecystitis - diagnostic imaging
Cholecystography - methods
Diagnosis, Differential
Female
Gallbladder - diagnostic imaging
Gallbladder Neoplasms - diagnostic imaging
Granuloma - diagnostic imaging
Humans
Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Nuclear Medicine
Pictorial Essay
Radiology
Radiotherapy
Tomography, X-Ray Computed - methods
Ultrasonography
Xanthomatosis - diagnostic imaging
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Summary:The imaging features of xanthogranulomatous cholecystitis closely resemble those of gallbladder carcinoma, especially those of the wall-thickening variety. There is an overlap between these two conditions with respect to the clinical features and certain imaging findings. However, certain finer details like the presence of intramural hypoattenuating nodules and the type of mucosal enhancement may help to differentiate these two conditions. In this article, we have highlighted some of these imaging features. The importance of making an accurate diagnosis lies in the significant difference between the prognosis and the surgical management of the two disease entities.
ISSN:1867-1071
1867-108X
DOI:10.1007/s11604-012-0080-9