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porcelain gallbladder

calcification of the gallbladder Etiology: - excessive gallstones likely play a role Epidemiology: - occurs predominantly in overweight middle-age women Pathology: - may be variant of chronic cholecystitis - inflammation with scarring of the gallbladder wall - dystrophic calcification within the gallbladder wall Special laboratory: - abdominal ultrasound Radiology: - abdominal CT Complications: - gallbladder cancer 6%, < 2% [4] Management: - cholecystectomy indicated to prevent gallbladder cancer

General

cholecystitis

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
  2. Wikipedia: Porcelain gallbladder http://en.wikipedia.org/wiki/Porcelain_gallbladder
  3. Schnelldorfer T. Porcelain gallbladder: a benign process or concern for malignancy? J Gastrointest Surg. 2013 Jun;17(6):1161-8 PMID: 23423431
  4. DesJardins H et al. Porcelain gallbladder: Is observation a safe option in select populations? J Am Coll Surg 2018 Jun; 226:1064 PMID: 29505824