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
CT

Plain and contrast enhanced abdominal 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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