Porcelain gallbladder

Presentation

Nausea and vomiting. Bowels not open. Abdominal distension.

Patient Data

Age: 70 years
Gender: Male
X-ray
  • Peripheral calcification of the gallbladder. 
  • Dilated small bowel and right colon.
CT

CT demonstrates a stricturing proximal transverse colon tumour causing large bowel obstruction and confirms the presence of a porcelain gallbladder. 

Case Discussion

  • This patient presented with signs and symptoms of bowel obstruction and was demonstrated to have an obstructing transverse colon tumour with incompetent ileocaecal valve at CT. 
  • The imaging findings are pathognomonic of a porcelain GB, an incidental finding in this case. 
  • Porcelain GB is often an incidental finding. It has previously been associated with an increased risk of cancer, but more recent studies have demonstrated lower incidences, and follow-up is not indicated1.

Case courtesy of Dr Jamie Franklin and Dr Ed Godfrey on behalf of the British Society of Gastrointestinal and Abdominal Radiology.

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Case information

rID: 51467
Case created: 17th Feb 2017
Last edited: 11th Jun 2017
Inclusion in quiz mode: Included

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