A Case of Xanthogranuiomatous Cholecystitis with Markedly Increased Level of Serum CAl9-9

Shinsaku Funamoto, Sanshirou Kigawa, Syuji Hirai, Yoshitomo Koshida, Akira Kakita*

Department of Surgery, Sapporo East Tokusyukai Hospital
*Department of Surgery, Kitasato University School of Medicine

A 38-year-old man was admitted to our hospital complaining of epigastralgia. The serum CA19-9 level was extremely high at 29,316 U/ml on admission. Abdominal ultrasonography, computed tomography, endoscopic retrograde cholangiography (PTCC) and abdominal angiography revealed the impacted gallstones with cholecystitis. The cytological finding of aspirated bile at PTCC was class III. The possibility of malignancy could not be ruled out. The patient was operated on laparoscopically. The gallbladder showed wall thickening and two cholesterol class stones. The histological finding was xanthogranulomatous cholecystitis with no evidence of malignancy. The serum CA19-9 level returned to normal after surgery.

Key words
increased level of serum CA19-9, xanthogranulomatous cholecystitis, gallbladder carcinoma

Reprint requests
Shinsaku Funamoto Department of Surgery, Sapporo East Tokusyukai Hospital
3-21, 13 chome, Kita 33 jyo, Higashiku, Sapporo, 065 JAPAN

Accepted
April 5, 1995

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