XANTHOGRANULOMATOUS CHOLECYSTITIS - A COMPLICATION OF METALLIC BILIARY STENT PLACEMENT

We present a case of 70-year-old female patient who was admitted due t o progressive jaundice. Our clinical impression of cholangiocarcinoma (Klatskin tumor), was confirmed by ultrasound, abdominal CT scan, and percutaneous transhepatic cholangiography. Two self-expanding metallic stents were placed in both intrahepatic ducts through a single transh epatic tract. After successful biliary stenting, the jaundice subsided and she was discharged as improved. However, progressive right upper quadrant pain was noted a few days after discharge and persisted for a bout 5 months, thus she was readmitted. During admission, she was febr ile, exhibiting leukocytosis, with clinical signs of impending septic shock. Gallbladder empyema with hilar cholangiocarcinoma were diagnose d. Percutaneous transhepatic cholecystotomy and drainage (PTCCD) was d one to alleviate the symptoms and cholecystectomy was performed therea fter. Pathologic report was compatible with xanthogranulomatous cholec ystitis. Post-operative recovery was fair at follow-up examination.