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| CT/MR features of xanthogranulomatous cholecystitis |
| LI Wei-wei1, YU Ri-sheng2, CUI Feng1 |
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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.
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[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. |
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