Idiopathic eosinophilic cholecystitis with Cholelithiasis- a rare histopathological variant

Abstract

Eosinophilic cholecystitis is a rare form of cholecystitis presented with classical symptoms of cholecystitis and diagnosed on histopathology in presence of more than 90% eosinophilic infiltrate with in wall of gallbladder . We report case in a 55 year old male presented to surgical department having complaints of upper right abdominal pain, tenderness, associated with vomiting since 8 days. On ultrasonography abdomen-pelvis show distended gallbladder with calculus of size 1.7 cm at fundic region .The wall of gallbladder thickened and edematous .Mild heterogenous intraluminal debris was noted. Open cholecystectomy was performed . Gallbladder specimen on histopathologically diagnosed as eosinophilic cholecystitis with cholelithiasis. We are presenting this case for its rarity , its clinical and histopathological findings.