January-March 2018

Porcelain Gall Bladder: A Rare Surgical Entity

Vishal Sardesai1*, Hardik Shah2, Dharmesh Panchal3

1,23rd years DNB Depart General surgery, 3MS Genral Holy spirit hospital, Mahakali Caves Road, Andheri east, Mumbai


BACKGROUND: Porcelain gallbladder is an uncommon manifestation of chronic cholecystitis, characterized by intramural calcification of the gallbladder wall.1 The term "porcelain gallbladder" is used to describe the bluish discoloration and brittle consistency of the gallbladder wall seen in this condition.2 The diagnosis is usually suggested by an abdominal radiograph revealing an incidental calcified lesion in the region of the gallbladder. Patients with a porcelain gallbladder are often asymptomatic, but are at increased risk for the development of gallbladder carcinoma, which has a poor prognosis.2 Thus, the possibility of a porcelain gallbladder should always be considered in the differential diagnosis of calcified right upper quadrant abdominal lesions The incidence of a calcified gallbladder at autopsy ranges from 0.06 to 0.08 percent.3 It is more common in females than in males, with a ratio of 5:1.4 The mean age at presentation varies from 38 to 70 years.4 The risk of gallbladder cancer in patients with porcelain gallbladder is unclear, with reported rates ranging from 0 to 62 percent.2,3,5-8

Keywords: x-ray abdomen, Intra-op view of porcelain gall bladder, Specimen of Porcelain Gall Bladder

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