Clinical analysis of xanthogranulomatous cholecystitis in 13 cases

Objective To probe into the diagnosis and treatment of xanthogranulomatous cholecystitis(XGC).Methods The clinical data of 13 XGC patients were analysed.Results All patients were examined by B-ultrasound in which 5 patients were examined by CT,3 patients by MRI,1 patient by ERCP.All patients were misdiagnosed.Complete cholecystectomy was executed in 9 cases.In addition to cholecystectomy,1 case was executed with T-tube drainage,2 cases were executed with partial liver wedge rection.One case was executed with greater partial cholecystectomy.All patients were cured.Conclusion XGC is a rare and special type chronic cholecystitis.It is difficult to diagnose before operation.Definite diagnosis depends on pathological examination.The basic method of treatment is cholecystectomy.