Successful Treatment of Xanthogranulomatous Cholecystitis Following Total Knee Replacement

Matthew League; John Eick

doi:10.7759/cureus.44474

Successful Treatment of Xanthogranulomatous Cholecystitis Following Total Knee Replacement

Cureus. 2023 Aug 31;15(8):e44474. doi: 10.7759/cureus.44474. eCollection 2023 Aug.

Authors

Matthew League¹, John Eick²

Affiliations

¹ Internal Medicine, Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, USA.
² Internal Medicine, Methodist University Hospital, Memphis, USA.

Abstract

Xanthogranulomatous cholecystitis (XGC) is a rare form of chronic gallbladder inflammation that most commonly presents as acute cholecystitis and is often mistaken for carcinoma of the gallbladder. This case details the hospital course and follow-up of a 77-year-old male who developed suspected acute acalculous cholecystitis (AAC) resulting in severe sepsis after elective left total knee arthroplasty (TKA). Histopathological findings after elective cholecystectomy later revealed XGC as the underlying etiology.

Keywords: acute acalculous cholecystitis; cholecystostomy; gallbladder histopathology; postoperative cholecystitis; xanthogranulomatous cholecystitis.

Publication types

Case Reports