T. Ogura, Y. Kurisu, Daisuke Masuda, Y. Inoue, M. Takii, Akira Imoto, S. Edogawa, H. Ohama, M. Teranishi, M. Hayashi, E. Umegaki, K. Uchiyama, K. Higuchi
{"title":"EUS-FNAで診断し，FDG-PETによる経時的変化を観察しえた黄色肉芽腫性胆嚢炎の1例","authors":"T. Ogura, Y. Kurisu, Daisuke Masuda, Y. Inoue, M. Takii, Akira Imoto, S. Edogawa, H. Ohama, M. Teranishi, M. Hayashi, E. Umegaki, K. Uchiyama, K. Higuchi","doi":"10.11405/NISSHOSHI.110.1640","DOIUrl":null,"url":null,"abstract":"An elderly man in his 70s presented with pain in the right hypochondrium. Computed tomography revealed thickening of the gall bladder wall and liver invasion. In addition, fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) revealed an abnormal accumulation in the gall bladder, leading to a suspicion of gall bladder carcinoma. To confirm the diagnosis, endoscopic ultrasound-guided fine-needle aspiration was performed, which revealed a diagnosis of xanthogranulomatous cholecystitis (XGC). FDG-PET revealed decreased wall thickness and standardized uptake value a month later. Cholecystectomy was performed on the basis of a histological and clinical diagnosis of XGC. Histological examination revealed inflammatory and foamy cells and exuberant granulation of the gall bladder wall, confirming XGC.","PeriodicalId":341053,"journal":{"name":"The Japanese journal of gastro-enterology","volume":"146 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2013-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Japanese journal of gastro-enterology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11405/NISSHOSHI.110.1640","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
An elderly man in his 70s presented with pain in the right hypochondrium. Computed tomography revealed thickening of the gall bladder wall and liver invasion. In addition, fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) revealed an abnormal accumulation in the gall bladder, leading to a suspicion of gall bladder carcinoma. To confirm the diagnosis, endoscopic ultrasound-guided fine-needle aspiration was performed, which revealed a diagnosis of xanthogranulomatous cholecystitis (XGC). FDG-PET revealed decreased wall thickness and standardized uptake value a month later. Cholecystectomy was performed on the basis of a histological and clinical diagnosis of XGC. Histological examination revealed inflammatory and foamy cells and exuberant granulation of the gall bladder wall, confirming XGC.
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