Porcelain gallbladder

Case contributed by Dr Varun Babu

Presentation

Right hypochondrial pain for evaluation. Ultrasound revealed wall echogenicity in gall bladder.

Patient Data

Age: 60
Gender: Female

Plain and contrast enhanced abdominal CT

Modality: CT

Punctate calcification of the gall bladder wall

Case Discussion

Also known as cholecystopathia chronica calcarea, porcelain gall bladder is classically  seen in the 60s in a female (M:F = 1:5)

Often an incidental detection, the importance lies in early removal of gall bladder as 33% of porcelain gall bladder tends to turn malignant

Supersaturated bile, intra mural hemorrhage and/or dystrophic calcification are the described mechanisms

Loss of wall echo shadow sign (double arc shadow) is typical for porcelain GB on ultrasound

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Case Information

rID: 17021
Case created: 11th Mar 2012
Last edited: 11th Oct 2016
Inclusion in quiz mode: Included

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