Radiology Case Reports (Oct 2024)

A case of eosinophilic cholecystitis: Radiologic-pathologic correlation

  • Kiyohito Yamamoto, MD, PhD,
  • Kazuhiro Yamamoto, MD, PhD,
  • Atsushi Takeshita, MD, PhD,
  • Koji Komeda, MD, PhD,
  • Akira Imoto, MD, PhD,
  • Keigo Osuga, MD, PhD

Journal volume & issue
Vol. 19, no. 10
pp. 4173 – 4176

Abstract

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Eosinophilic cholecystitis (EC) is a rare condition that is characterized by eosinophilic infiltration in the gallbladder wall. We report the case of a 35-year-old woman who presented with unremitting right upper quadrant pain for 1 month. Computed tomography showed a strongly enhanced inner layer of the gallbladder wall. Magnetic resonance imaging of the same area showed low signal intensity on T2-weighted imaging. Cholecystectomy was performed, and histological examination of the surgical specimen revealed >100 eosinophils per high-power field in the inner subserosal layer. The area of these histological findings corresponded to the strongly enhanced inner layer of the gallbladder wall identified on computed tomography.

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