Computed tomography (CT) and magnetic resonance (MR) findings in xanthogranulomatous cholecystitis : retrospective analysis of pathologically proven 30 cases : tertiary care experience

2017
journal article
article
10
cris.lastimport.wos2024-04-09T22:19:58Z
dc.abstract.enBACKGROUND: To study CT and MR findings in xanthogranulomatous cholecystitis (XGC). MATERIAL AND METHODS: Retrospective analysis of 30 histopathologically confirmed cases of XGC. Seventeen patients underwent CECT and 13 underwent MRI. The following features were studied – wall thickness, intramural nodules, pericholecystic stranding, wall thickness, THAD, fat in gallbladder wall, cholelithiasis, infiltration, biliary dilatation, lymph nodes, complications. RESULTS: The majority of cases (22/30) showed discontinuous mucosal lining. Discontinuous mucosal lining was seen in all cases with wall thickness >10 mm, 75% of cases with wall thickness between 3-10 mm and none in normal wall thickness (p=0.03). Diffuse wall thickening was seen in 23 cases, focal thickening in 3 and polypoidal wall thickening in 2 cases. Polypoidal thickening was seen in gallbladder carcinoma. Intramural nodules were present in 87.5% of cases with discontinuous mucosal lining. Pericholecystic stranding was seen in 19, biliary dilatation in 12, liver infiltration in 13 and fat in 7 cases. Lymphadenopathy was seen in 1 case with gallbladder carcinoma. Four cases showed a signal drop in the intramural nodules on chemical shift MRI. CONCLUSIONS: Discontinuous mucosal lining is evident in xanthogranulomatous cholecystitis. Diffuse wall thickening, intramural nodules, continuous or discontinuous mucosal lining and cholelithiasis may indicate XGC rather than gallbladder carcinoma. Based on correlation with pathophysiological findings, we conclude that discontinuous mucosal lining is not an unusual finding in cases of XGC. Advances in knowledge: Being aware of the radiological findings described in this article may be helpful in making preoperative radiological diagnosis of XGC. Mucosal lining may be continuous or discontinuous in XGC.pl
dc.contributor.authorSureka, Binitpl
dc.contributor.authorSingh, Vaibhav Pratappl
dc.contributor.authorRajesh, S.pl
dc.contributor.authorLaroia, Shalini Thaparpl
dc.contributor.authorBansal, Kalpanapl
dc.contributor.authorRastogi, Archanapl
dc.contributor.authorBihari, Chhaganpl
dc.contributor.authorBhadoria, Ajeet Singhpl
dc.contributor.authorAgrawal, Nikhilpl
dc.contributor.authorArora, Asitpl
dc.date.accessioned2017-07-04T12:37:05Z
dc.date.available2017-07-04T12:37:05Z
dc.date.issued2017pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 332pl
dc.description.physical327-332pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume82pl
dc.identifier.doi10.12659/PJR.901728pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/42309
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.encholecystitispl
dc.subject.engallbladder diseasespl
dc.subject.engallbladder neoplasmspl
dc.subject.enmagnetic resonance imagingpl
dc.subject.enmultidetector computed tomographypl
dc.subtypeArticlepl
dc.titleComputed tomography (CT) and magnetic resonance (MR) findings in xanthogranulomatous cholecystitis : retrospective analysis of pathologically proven 30 cases : tertiary care experiencepl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T22:19:58Z
dc.abstract.enpl
BACKGROUND: To study CT and MR findings in xanthogranulomatous cholecystitis (XGC). MATERIAL AND METHODS: Retrospective analysis of 30 histopathologically confirmed cases of XGC. Seventeen patients underwent CECT and 13 underwent MRI. The following features were studied – wall thickness, intramural nodules, pericholecystic stranding, wall thickness, THAD, fat in gallbladder wall, cholelithiasis, infiltration, biliary dilatation, lymph nodes, complications. RESULTS: The majority of cases (22/30) showed discontinuous mucosal lining. Discontinuous mucosal lining was seen in all cases with wall thickness >10 mm, 75% of cases with wall thickness between 3-10 mm and none in normal wall thickness (p=0.03). Diffuse wall thickening was seen in 23 cases, focal thickening in 3 and polypoidal wall thickening in 2 cases. Polypoidal thickening was seen in gallbladder carcinoma. Intramural nodules were present in 87.5% of cases with discontinuous mucosal lining. Pericholecystic stranding was seen in 19, biliary dilatation in 12, liver infiltration in 13 and fat in 7 cases. Lymphadenopathy was seen in 1 case with gallbladder carcinoma. Four cases showed a signal drop in the intramural nodules on chemical shift MRI. CONCLUSIONS: Discontinuous mucosal lining is evident in xanthogranulomatous cholecystitis. Diffuse wall thickening, intramural nodules, continuous or discontinuous mucosal lining and cholelithiasis may indicate XGC rather than gallbladder carcinoma. Based on correlation with pathophysiological findings, we conclude that discontinuous mucosal lining is not an unusual finding in cases of XGC. Advances in knowledge: Being aware of the radiological findings described in this article may be helpful in making preoperative radiological diagnosis of XGC. Mucosal lining may be continuous or discontinuous in XGC.
dc.contributor.authorpl
Sureka, Binit
dc.contributor.authorpl
Singh, Vaibhav Pratap
dc.contributor.authorpl
Rajesh, S.
dc.contributor.authorpl
Laroia, Shalini Thapar
dc.contributor.authorpl
Bansal, Kalpana
dc.contributor.authorpl
Rastogi, Archana
dc.contributor.authorpl
Bihari, Chhagan
dc.contributor.authorpl
Bhadoria, Ajeet Singh
dc.contributor.authorpl
Agrawal, Nikhil
dc.contributor.authorpl
Arora, Asit
dc.date.accessioned
2017-07-04T12:37:05Z
dc.date.available
2017-07-04T12:37:05Z
dc.date.issuedpl
2017
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 332
dc.description.physicalpl
327-332
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
82
dc.identifier.doipl
10.12659/PJR.901728
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/42309
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
cholecystitis
dc.subject.enpl
gallbladder diseases
dc.subject.enpl
gallbladder neoplasms
dc.subject.enpl
magnetic resonance imaging
dc.subject.enpl
multidetector computed tomography
dc.subtypepl
Article
dc.titlepl
Computed tomography (CT) and magnetic resonance (MR) findings in xanthogranulomatous cholecystitis : retrospective analysis of pathologically proven 30 cases : tertiary care experience
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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