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2017 ; 3
(4
): e145-e147
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Porcelain Gallbladder: Often an Overlooked Entity
#MMPMID28924614
Iqbal S
; Ahmad S
; Saeed U
; Al-Dabbagh M
Surg J (N Y)
2017[Oct]; 3
(4
): e145-e147
PMID28924614
show ga
Background ?Porcelain gallbladder (GB) is a rare but potentially premalignant
condition with minimal symptoms. Accident and Emergency (A&E) departments often
tend to investigate abdominal pain through plain radiographs, which are
occasionally reported by radiologists, thereby leaving behind few uncommon
conditions, such as porcelain gallbladder unreported. Objectives ?We present
three cases of porcelain GB in which initial diagnosis was not considered due to
the presence of various other calcifications in the upper abdomen. Methods ?In
A&E, plain abdominal X-rays were routinely performed in all three patients to
investigate nonspecific postprandial abdominal pain. Although GB calcification
was easy to diagnose on plain films, it was initially overlooked to be a cause of
the symptoms and later was diagnosed on abdominal CT scans, performed for further
evaluation. Results ?Abdominal X-rays revealed thin curvilinear calcification in
the GB wall, partially calcified neck and body, and gall stones. CT scan
confirmed porcelain GB in all three patients. Conclusion ?Gallbladder mural
calcification is a rare cause of nonspecific abdominal pain, which is often
overlooked on plain abdominal X-rays causing missed diagnosis. The association of
porcelain GB with adenocarcinoma entails special emphasis on timely diagnosis and
prompt management.