Multi-detector row CT and gallbladder wall blood flow by color doppler US as a useful tool for pre-operative diagnosis in 3 cases of xanthogranulomatous cholecystitis

Toshiyuki Yamamoto, Akihiko Horiguchi, Shin Ishihara, Masahiro Ito, Yukio Asano, Kouichi Furusawa, Toru Nishikawa, Ryota Hanaoka, Ryoichi Kato, Shuichi Miyakawa

Research output: Contribution to journalArticlepeer-review

Abstract

Xanthogranulomatous cholecystitis (XGC) is comparatively rare and difficult to distinguish from advanced gallbladder cancer (GBC) by imaging studies. It is important to accurately diagnose XGC preop-eratively, because patients undergo unnecessarily extensive surgery, such as liver resection, if GBC is diagnosed. We selected 3 cases of XGC diagnosed by post-operative pathological examination, between April 2007 and March 2009. Multi Detector-row CT (MD-CT) was useful for preoperative diagnosis of XGC, because it could detect an enhanced continuous mucosal line and intramural hypoattenuated nodule that are distinctive of XGC. Furthermore, measurement of gallbladder wall blood flow (GWBF) and both resistance index (RI) and pulsatility index (PI), indicating vascular resistance by color Doppler US, were also useful for making a differential diagnosis between XGC and GBC. However, it is still difficult to precisely diagnose XGC preoperatively despite progress in imaging studies, and because a higher percentage of XGC coexists with GBC. Therefore intraoperative pathological examination plays an important role in selecting the most suitable surgical procedure.

Original languageEnglish
Pages (from-to)1126-1133
Number of pages8
JournalJapanese Journal of Gastroenterological Surgery
Volume44
Issue number9
DOIs
Publication statusPublished - 2011

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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