PMC9940947_01
Magnetic resonance cholangiopancreatography (MRCP) showing thickened gallbladder.
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fig1
Magnetic resonance cholangiopancreatography (MRCP) was done, which revealed circumferential wall thickening of the body of the GB with its luminal narrowing and mild pericholecystic fat stranding suspicious of carcinoma GB along with cholelithiasis and choledocholithiasis with mild dilation of the common bile duct (CBD) (Figure 1).
Contrast-enhanced computed tomography (CECT) abdomen pelvis showing partially distended gallbladder with thickening at the region of the body with luminal narrowing.
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fig2
Multiple fat planes were seen in the liver, hepatic flexure, and proximal duodenum with focal asymmetric thickening of the duodenal wall at the same level; features suggestive of carcinoma GB (Figure 2).
Cut section of gallbladder with stone within it.
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fig3
T-tube placement (Figure 3). GB along with the mass infiltrating part of the involved organs was resected as a part of palliative surgery as there was the involvement of the right hepatic artery, hepatic flexure, and 1st part of the duodenum.
Histopathological examination of gallbladder wall infiltrated by histiocytes along with plasma cells and lymphocytes with multinucleated giant cells; features consistent with XCG cholecystitis.
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fig4
Sections from excised lymph nodes showed intact capsular and lymphoid architecture with no granulomas and atypical cells suggesting reactive lymph nodes, all features confirming xanthogranulomatous cholecystitis (Figure 4).