Porcelain gallbladder

Case contributed by A.Prof Frank Gaillard

Presentation

85-year-old woman who presented with a three-month history of diffuse abdominal pain and weight loss of 40 pounds.

Patient Data

Age: 85
Gender: Female
Modality: X-ray

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Modality: CT

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Case Discussion

On physical examination, she had a hard, nontender, baseball- sized mass in the right upper abdominal quadrant.

A computed tomographic scan showed that the calcification seen on the plain abdominal radiograph represented the wall of the gallbladder (image below). The scan also showed ascites, multiple lesions in the liver, and nodularity of the peritoneum and small bowel mesentery. These findings suggested metastatic carcinoma of the gallbladder, but the patient refused further investigation.

Authors: Herbert L. Fred, MD and Hendrik A. van Dijk

Original source: http://cnx.org/content/m14939/latest/

Licence: Creative Commons Attribution License (CC-BY 2.0)

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Case Information

rID: 12409
Case created: 21st Nov 2010
Last edited: 16th Nov 2015
Inclusion in quiz mode: Included

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