Xanthogranulomatous Cholecystitis with Florid Ducts of Luschka: Double Trouble Mimicking Malignancy
Published: May 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27194.9906
Archana Shetty, Mudasser Rehan, V. Geethamani
1. Associate Professor, Department of Pathology, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
2. Associate Professor, Department of Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
3. Professor and Head, Department of Pathology, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India.
Correspondence
Dr. Archana Shetty,
‘MYTHILI’FF-3, Sai Durga Apartments, Padmavathi Meenakshi Kalyana Mantapa Road,
Rajarajeshwarinagar, Bengaluru-560098, Karnataka, India.
E-mail: archanashetty2924@gmail.com
Xanthogranulomatous Cholecystitis (XGC) is an uncommon inflammatory condition of gall bladder, which is often misdiagnosed as malignancy preoperatively, leading to extensive surgical resections which may not be necessary for the patient. Ducts of Luschka are a rare developmental variant of the biliary tree, which are prone to injury and bile leak during cholecystectomy. We report a case of a 52-year-old male patient who was taken up for surgery with a provisional diagnosis of chronic calculous cholecystitis. Intraoperative finding of dense adhesions, made the surgeons suspect malignancy. On histopathological examination, it was not only diagnosed as a case of XCG, but it also had florid ducts of Luschka, another rare variant needing documentation as it is a close mimicker of malignancy.
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