Abstract

Xanthogranulomatous Cholecystitis (XGC) masquerading as gallbladder cancer is not uncommon. Imaging modalities have their own limitations in the diagnosis of XGC and the final confirming diagnosis is by histopathology. Unnecessary radical resections, increased cost, higher morbidity and mortality rates are also associated with XGC. We present a case of obstructive jaundice primarily due to periampullary tumor but complicated by XGC, creating a diagnostic dilemma and shifting the focus to gall bladder carcinoma (GBC) preoperatively. The index case is about how this mystery was resolved and treated successfully.