Abstract:Objective: The purpose of this study is to discuss the features of xanthogranulomatous cholecystitis(XGC) on CT /MR. Methods: Twenty-eight patients were confirmed XGC by surgery and pathology, and CT/MR manifestations were analyzed. Results: On CT or MRI, gallbladder wall thickening was shown in all 28 cases(100%), diffuse thickening was in 22 cases(78.57%), and stones of gallbladder/bile duct were shown in 21 cases(75%), with nodules in gallbladder wall in 10 cases(35.71%), continuous mucosal line enhancement in 25 cases(89.29%), and adjacent structure infiltration in 24 cases(85.71%), respectively. Conclusion: The co-existence of gallbladder wall diffuse thickening, continuous mucosal line enhancement, nodules in gallbladder wall and stones of gallbladder/bile duct are characteristics of XGC.
李伟伟1,余日胜2,崔 凤1. 黄色肉芽肿性胆囊炎的CT与MR影像分析[J]. 中国临床医学影像杂志, 2017, 28(8): 564-567.
LI Wei-wei1, YU Ri-sheng2, CUI Feng1. CT/MR features of xanthogranulomatous cholecystitis. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(8): 564-567.
[1]Han SH, Chen YL. Diagnosis and treatment of xanthogranulomatouscholecystitis: a report of 39 cases[J]. Cell Biochem Biophys, 2012, 64(2): 131-135.
[2]张维,邱伟,范国华. 黄色肉芽肿性胆囊炎的CT表现与临床病理分析[J]. 实用放射学杂志,2014,30(10):1680-1682.
[3]Singh VP, Rajesh S, Bihari C, et al. Xanthogranulomatouscholecystitis: what every radiologist should know[J]. World J Radiol, 2016, 8(2): 183-191.
[4]王建美,杨宏远,纪建美,等. 黄色肉芽肿性胆囊炎的诊断及鉴别诊断[J]. 医学影像学杂志,2013,23(11):1729-1732.
[5]马黎斌,夏进东,林江,等. 黄色肉芽肿性胆囊炎影像学表现及其病理学基础[J]. 临床放射学杂志,2013,32(7):991-995.
[6]张旭日,崔乃强,赵二鹏,等. 45例黄色肉芽肿性胆囊炎临床治疗分析[J]. 中国中西医结合外科杂志,2011,17(4):352-354.
[7]Zhao F, Lu X, Yan SX, et al. CT and MR features of xanthogranulomatouscholecystitis: an analysis of consecutive 49 cases[J]. Eur J Radiol, 2013, 82(12): 1391-1397.
[8]王建良,朱玉春,邢伟,等. 黄色肉芽肿性胆囊炎与厚壁型胆囊癌的螺旋CT鉴别诊断[J]. 临床放射学杂志,2015,34(1):74-78.
[9]Lee ES, Kim JH, Joo I, et al. Xanthogranulomatous cholecystitis: diagnostic performance of US, CT, and MRI for differentiation from gallbladder carcinoma[J]. Abdom Imaging, 2015, 40(12): 2281-2292.
[10]Memon AA, Abro AH, Pathan AH, et al. Xanthogranulomatous cholecystitis(XGC)—a diagnostic dilemma[J]. J Liaquat Uni Med Health Sci, 2015, 14(3): 115-119.
[11]吴晔,王震侠,宝力道,等. 黄色肉芽肿性胆囊炎误诊为胆囊癌的临床分析(附2例报道)[J]. 中国普外基础与临床杂志,2013,20(2):206-208.