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Porcelain gallbladder complicated with pancreas divisum
Kazuhisa Takeda1, Hitoshi Sekido, Mitsutaka Sugita
1Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
Journal of Hepato-Biliary-Pancreatic Surgery
|December 2, 2006
Summary
This case report highlights a rare association between porcelain gallbladder and pancreas divisum (PD). Careful monitoring of patients with PD is crucial due to the increased risk of gallstones and porcelain gallbladder development.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Porcelain gallbladder is a rare condition characterized by calcification of the gallbladder wall.
- Pancreas divisum (PD) is the most common congenital anomaly of the pancreaticobiliary system.
- The association between porcelain gallbladder and PD is infrequently reported.
Observation:
- A 60-year-old woman presented with right upper quadrant discomfort.
- Radiological imaging revealed a calcified gallbladder consistent with porcelain gallbladder.
- Endoscopic and MR imaging confirmed pancreas divisum, with separate pancreatic duct openings.
Findings:
- The porcelain gallbladder was attributed to a gallstone impacted in the gallbladder neck.
- The patient underwent successful cholecystectomy.
- Diagnostic imaging confirmed both porcelain gallbladder and pancreas divisum.
Implications:
- This case underscores the importance of recognizing the potential link between PD and gallstone disease.
- Patients diagnosed with PD require vigilant follow-up for gallstone-related complications, including porcelain gallbladder.
- Early diagnosis and management are essential to prevent complications associated with these conditions.
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