RESUMEN

Ten cases of xanthogranulomatous cholecystitis are presented, 5 women and 5 men, from a total of 439 cholecystectomies (2.2%). In 50% of cases the clinical course was consistent with acute cholecystitis; in 30%, gallbladder cancer was suspected preoperatively; and in 70% of cases cancer was suspected during surgery but intraoperative biopsies showed no malignancy. Definitive pathological findings included early carcinoma of the gallbladder in two patients, and a cholecystocolic fistula in one patient. A perforated gallbladder was found in one patient. The incidence of postoperative septic complications was 18.1%, a figure that doubles that of elective biliary surgery in our hospital.

Asunto(s)

Colecistitis/complicaciones , Granuloma/complicaciones , Xantomatosis/complicaciones , Anciano , Anciano de 80 o más Años , Colecistitis/diagnóstico , Colecistitis/cirugía , Femenino , Enfermedades de la Vesícula Biliar/complicaciones , Enfermedades de la Vesícula Biliar/diagnóstico , Enfermedades de la Vesícula Biliar/cirugía , Granuloma/diagnóstico , Granuloma/cirugía , Humanos , Masculino , Persona de Mediana Edad , Xantomatosis/diagnóstico , Xantomatosis/cirugía