XANTHOGRANULOMATOUS  CHOLECYSTITIS (XGC)

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Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi

Dr. Ashish Vashistha is the Best Gallbladder Surgeon in Delhi, a Senior Robotic laparoscopic surgeon who is HOD Department of Surgery and Robotics Max Super Specialty Hospital Saket Delhi. Explained about XANTHOGRANULOMATOUS CHOLE CYSTITIS.

I have been diagnosed with XANTHOGRANULOMATOUS  CHOLE CYSTITIS.

 

Xanthos granulomatous cholecystitis is a rare begin inflammatory condition secondary to extravasation of bile into the intramural tissue of the gall bladder.

 

This generates reactive inflammatory changes with progressive proliferative fibrosis of the gallbladder. Accumulation of lipid-laden macrophages termed xanthoma cells, in the intramural lining of gallbladder wall secondary to inflammatory response to extravasated bile.

 

The disease is rare.

 

The mechanism of extravasation remains unclear but may be related to either mucosal ulceration from gall stones or the rupture of Rokitansky Aschoff sinuses which are deep mucosal pouching of the gall bladder that extend through the muscular layer of the wall.

 

The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha explained All about DIAGNOSIS –

 

DIAGNOSIS

 

The diagnosis is not easy

 

Ultrasound abdomen,

 

MRI  abdomen,

 

MRCP can help  us diagnose it as cholecystitis, choledocholithiasis, and cholelithiasis with ticked GB wall

 

Differentiating XGC from cholangiocarcinoma is difficult based on the clinical or radiological parameter, with definitive is dependent on histopathology.

 

The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha explained All about the SYMPTOMS –

 

SYMPTOMS-


–     Pain in the upper quadrant of the abdomen.

–     Pain that radiates to the back

–     Fever

–     Vomiting

–     Jaundice

–     Loss of appetite

 

The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha explained All about MANAGEMENT–

 

MANAGEMENT –

 

  • HISTORY TAKING IN DETAIL IS IMPORTANT- how long pain is persisting, family H/O diabetes, family H/O Gallbladder stones, Family H/O gallbladder carcinoma
  • Age of patient
  • Medical history
  • Conversation with radiologist to be sure of not seeing features of gallbladder CA
  • Facility of frozen section available in operation theater

 

DR ASHISH VASHISTHA, BEST LAPAROSCOPIC AND ROBOTIC SURGEON AT MAX HOSPITAL SAKET EVALUATED THE CASE THOROUGHLY AND DID LAPAROSCOPIC CHOLECYSTECTOMY AND WITH GOD’s grace, patient is fine and doing well at home.