Presentation
Right hypochondrial pain for evaluation. Ultrasound revealed wall echogenicity in gallbladder.
Patient Data
Age: 60 years
Gender: Female
From the case:
Porcelain gallbladder
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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, intramural 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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