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• Clinical Article •
MRI features of xanthogranulomatous cholecystitis
MA Guang-hui  JI Ming  YE Chun-tao  XIAO Li  HAN Dan 

DOI:10.3969/j.issn.1674-8034.2014.04.009.


[Abstract] Objective: To study the MRI featheres of xanthogranulomatous cholecystitis (XGC).Materials and Methods: A retrospective analysis was performed on 8 patients with pathologically proven XGC in this study. All patients underwent MRI scanning. The MRI feathers were: the patterns of wall thickening and enhancement, the presence of intramural nodules, mucosal line and presence of stones in the gallbladder. Liver parenchyma changes were also reviewed.Results: Gallbladder wall thickening occurred in all of the 8 cases. 6 cases were diffuse thickening and 2 cases were local thickening. Nodules were found in all of the 8 cases, which were low signal intensity on T1WI and high signal intensity on T2WI. Mucous membrane enhanced in all cases, in which 6 cases had intact mucosal line, 2 cases had interrupted mucosal line. All patients had cholecystolithiasis. Temporal enhancement of arterial phase in liver parenchyma in all cases.Conclusions: Frequent imaging manifestation of XGC were asymmetrical thickening of gallbladder wall, nodule in gallbladder wall, intact mucosal line and temporal enhancement of arterial phase in liver parenchyma.
[Keywords] Cholecystitis；Magnetic resonance imaging

MA Guang-hui Department of Radiology, Hua Dong Hospital Affilated To Fudan Univeresity, Shanghai 200040, China

JI Ming* Department of Radiology, Hua Dong Hospital Affilated To Fudan Univeresity, Shanghai 200040, China

YE Chun-tao Department of Radiology, Hua Dong Hospital Affilated To Fudan Univeresity, Shanghai 200040, China

XIAO Li Department of Radiology, Hua Dong Hospital Affilated To Fudan Univeresity, Shanghai 200040, China

HAN Dan Department of Radiology, Hua Dong Hospital Affilated To Fudan Univeresity, Shanghai 200040, China

*Correspondence to: Ji M, E-mail: jiming@sh163.net

Conflicts of interest   None.

Received  2014-02-18
Accepted  2014-05-16
DOI: 10.3969/j.issn.1674-8034.2014.04.009
DOI:10.3969/j.issn.1674-8034.2014.04.009.

[1]
Guzman-Valdivia G. Xanthogranulomatous cholecystitis: 15years’experience. world J Surg, 2004, 28(3): 254-257.
[2]
Guzman-Valdivia G. Xanthogranulomatous cholecystitisin laparoscopic surgery. J Gastrointest Surg, 2005, 9(4): 494-497.
[3]
Hale MD, Roberts KJ, HodsonJ, et al. Xanthogranulomatouscholecys titis: a European and global perspective. HPB (Oxford), 2014, 16(5): 448-458.
[4]
Yu H, Yu TN, Cai XJ. Tumor biomarkers: help or mislead in the diagnosis of xanthogranulomatouscholecystitis? -analysis of serum CA 19-9, carcinoembryonic antigen, and CA 12-5. Chin Med J (Engl), 2013, 126(16): 3044-7.
[5]
Takahashi K, Oka K, Hakozaki H, et al. Ceroid-like histiocytic granulomas of the gallbladder-a previously undescribed lesion. ActaPathol Jpn, 1976, 26(1): 25-46.
[6]
Goshima S, Chang S, Wang JH, et al. xanthogranulomatouscholecys titis: diagnostic performance of CT to differentiate from gallbladder cancer. Euro J Radiol, 2010, 74(3): e79-83.
[7]
Zhao F, Lu PX, Yan SX, et al. CT and MR features of xanthogranulo matouscholecystitis: ananalysis of consecutive 49 cases. Eur J Radiol, 2013, 89(9): 1391-1397.
[8]
黄子星,陈光文,鲁昌立,等.黄色肉芽肿性胆囊炎的MRI表现特点.中国临床医学影像杂志, 2010, 21(12): 856-859.
[9]
施勤,周建胜,张峭巍,等.黄色肉芽肿性胆囊炎的CT表现.中华放射学杂志, 2006, 40(1): 86-88.
[10]
Han SH, Chen YL. Diagnosis and treatment of xanthogranulomatous cholecystitis a report of 39 cases. Cell Biochem Biophys, 2012, 64(2): 135-131.
[11]
Kang TW, Kim SH, Park HJ, et al. Differentiating xanthogranulom atouscholecystitis from wall-thickening type of gallbladder cancer: added value of diffusion-weighted MRI. Clin Radiol, 2103, 68(10): 992-1001.
[12]
Cui Y, Zhang H, Zhao E, et al. Differential diagnosis and treatment options for xanthogranulomatouscholecystitis. MedPrinc Pract, 2013, 22(1): 18-23.
[13]
Zhuang PY, Zhu MJ, Wang JD, et al. Xanthogranulomatouscholecy stitis: a clinicopathological study of its association with gallbladder carcinoma. J Dig Dis, 2013, 14(1): 45-50.
[14]
Guermazi A. Are there other imaging features to differentiatexantho granulomatous cholecystitis from gallbladder carcinoma? EurRadiol, 2005, 15(6): 127l-1272.

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