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Porcelain Gallbladder: A Case Report
M M Chowdhury1, A S Khan, R Karim
1Professor Md Mohsen Chowdhury, Professor & Head of Yellow Unit II, Department of Hepatobiliary & Pancreatic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh;
Mymensingh Medical Journal : MMJ
|August 9, 2019
Summary
Porcelain gallbladder, a rare condition associated with chronic cholecystitis, presents calcification of the gallbladder wall. Early detection is crucial due to a high risk of gallbladder cancer, necessitating prompt surgical intervention.
Area of Science:
- Gastroenterology
- Pathology
- Radiology
Background:
- Porcelain gallbladder is a rare morphological variant of chronic cholecystitis characterized by dystrophic calcification of the gallbladder wall.
- The term 'porcelain gallbladder' describes the blue staining and fragile consistency observed during surgery, though some prefer to use it for all calcified gallbladders.
Observation:
- Patients with porcelain gallbladder are typically asymptomatic, with the condition often discovered incidentally through abdominal radiographs, sonograms, or CT scans.
- This condition involves inflammatory scarring and calcification, transforming the gallbladder into a porcelain-like structure.
Findings:
- Porcelain gallbladder is associated with a significant incidence of adenocarcinoma, estimated at 22%.
- A case study highlights a 45-year-old female initially misdiagnosed with gallbladder carcinoma, later confirmed as benign post-cholecystectomy.
Implications:
- Prompt surgical intervention (cholecystectomy) is recommended for porcelain gallbladder, even in asymptomatic patients, due to the high risk of malignancy.
- Accurate diagnosis and recognition of imaging characteristics are vital for appropriate patient management and to prevent delayed treatment of potential gallbladder cancer.
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