Xanthogranulomatous cholangitis causing obstructive jaundice： A case report

• Published in: World journal of gastroenterology : WJG 2006-07, Vol.12 (27), p.4428-4430
• Main Authors: Kawate, Susumu, Ohwada, Susumu, Ikota, Hayato, Hamada, Kunihiro, Kashiwabara, Kenji, Morishita, Yasuo
• Format: Article
• Language: English
• Subjects: Adenocarcinoma - diagnosis; Adenocarcinoma - pathology; Adult; Bile Duct Neoplasms - diagnosis; Bile Duct Neoplasms - pathology; Bile Ducts, Intrahepatic - pathology; Case Report; Cholangitis - complications; Cholangitis - diagnosis; Cholangitis - pathology; Cholangitis - surgery; Diagnosis, Differential; Female; Histiocytosis, Non-Langerhans-Cell - complications; Histiocytosis, Non-Langerhans-Cell - diagnosis; Histiocytosis, Non-Langerhans-Cell - pathology; Histiocytosis, Non-Langerhans-Cell - surgery; Humans; Jaundice, Obstructive - diagnosis; Jaundice, Obstructive - etiology; Jaundice, Obstructive - pathology; Jaundice, Obstructive - surgery; 病理机制; 细胞学; 胆管炎; 阻塞性黄疸
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v12.i27.4428

This article reports the case of a 34-year-old woman with xanthogranulomatous cholangitis who developed obstructive jaundice. Microscopically, the bile duct was surrounded and narrowed by a xanthogranulomatous lesion, but no xanthogranulomatous cholecystitis was seen. Although percutaneous cholangiograms done via the transhepatic biliary drainage showed smooth narrowing of the upper to middle bile duct, the cytology of bile was diagnosed as class V adenocarcinoma. Therefore, right extended hepatectomy and extrahepatic bile duct resection were performed. The differentiation of benign and malignant strictures at the hepatic hilum is often difficult. Xanthogranulomatous cholangitis is one possible diagnosis of a bile duct stricture. Precise review of all the preoperative information is required to make a correct diagnosis.