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 an 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
Published: 14th Apr 2017
Last edited: 14th May 2018
Inclusion in quiz mode: Included

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