CASE REPORT

JOP. J Pancreas (Online) 2006; 7(2):222-225.

Ampullary Xanthogranulomatous Inflammation Mimicking Periampullary Cancer: Report of a Case

Biju Pottakkat1, Rajan Saxena1, Hirdaya Hulas Nag 1, Neeraj Kumari2, Narendra Krishnani2

1Department of Surgical Gastroenterology and 2Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS). Lucknow, India

ABSTRACT

Context Xanthogranulomatous inflammation commonly affects the gallbladder. To date, there have been no reports of xanthogranulomatous inflammation of the ampulla.

Case report A 48-year-old female presented to us with fever, jaundice and a palpable gallbladder. Evaluation revealed features of periampullary malignancy. The patient underwent a Whipple’s pancreaticoduodenectomy. Histopathology revealed a xanthogranulomatous inflammation affecting the ampulla and the gallbladder.

Conclusion Xanthogranulomatous inflammation should be added to the differential diagnosis of patients presenting with a suspected periampullary lesion accompanied by a thick-walled gallbladder.

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Keywords Ampulla of Vater; Common Bile Duct; Pancreaticoduodenectomy

Correspondence Rajan Saxena: rajan@sgpgi.ac.in

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