Presentation
Part of the popular Case Review series, this outstanding Board review book presents over 200 unknown cases—complete with over 350 state-of-the-art images, questions, answers, commentary, references, and more—to enhance your imaging interpretation skills [books.google.com]
A 10-year-old girl is presented with PGB that was discovered incidentally during intravenous urography. Computed tomography localized the calcification to the gallbladder wall. [ncbi.nlm.nih.gov]
Irregular wall thickening, cannot distinguish mucosa and submucosa, gallstones (present in 90% of cases), intraluminal mass may be present (not pictured). Heterogenously hyperintense mass within the gallbladder lumen. [radcharts.org]
This examination will demonstrate whether the gallbladder presented a neoplasm component or not. Porcelain Gallbladder 5 (99.05%) 42 votes [hellomrdoctor.com]
Urogenital
- Bladder Pain
Arun Phophalia Doctor (MD) Post-Doctoral Degree 19,897 satisfied customers I have liver cyst calcified densities(ovarian cyst ) in both I have liver cyst calcified densities(ovarian cyst ) in both ovaries, sharp bladder pain, lower left back and side [justanswer.com]
Workup
Diagnosis is made in most cases by a simple flat plate of the abdomen, and workup should include other roentgenographic examinations to exclude calcification of other viscera or the thoracic wall. [ncbi.nlm.nih.gov]
In our patient, after his cholecystectomy a hematologic workup was recommended to his primary physician. Laparoscopic cholecystectomy can be safely performed in the case of symptomatic cholelithiasis in this population. [bmcresnotes.biomedcentral.com]
A cholecystokinin-HIDA scan is helpful in patients with suspected gallstones, but who have normal findings on ultrasonography and workup for their symptoms (e.g., upper endoscopy, upper gastrointestinal series, negative Helicobacter pylori serology). [aafp.org]
Treatment
Treatment consists of cholecystectomy with a careful search for malignancy. [ncbi.nlm.nih.gov]
Treatment [ edit ] Due to the increased risk for gallbladder cancer, the recommended treatment is cholecystectomy which usually includes pre-operative or intra-operative imaging of the biliary tree. [en.wikipedia.org]
Single-incision laparoscopic cholecystectomy was feasible and safe for the treatment of porcelain gallbladder in our patient. [jstage.jst.go.jp]
We will provide you with additional porcelain gallbladder information and explain your treatment options. [mivipsurgerymiami.com]
[…] irregular clumps of echoes with posterior acoustic shadowing Differential Diagnosis Imaging pitfall Contracted gallbladder with calcified wall can be mistaken for a gallstone Calcified hydatid cyst of liver Large gallstone with peripheral calcification Treatment [learningradiology.com]
Prognosis
[…] gallbladder with calcified wall can be mistaken for a gallstone Calcified hydatid cyst of liver Large gallstone with peripheral calcification Treatment Because of its high association with carcinoma of the gallbladder, a cholecystectomy is usually performed Prognosis [learningradiology.com]
Treatment and prognosis Based on early studies which revealed a high association between porcelain gallbladder and gallbladder adenocarcinoma (22-30% of porcelain gallbladders developing gallbladder adenocarcinoma 3 ), cholecystectomy has been routinely [radiopaedia.org]
Cholecystitis --Typically in a woman in her 40s Gallbladder carcinoma --In an elderly woman (too old for cholecystitis) Gallbladder Carcinoma: What is the prognosis for gallbladder carcinoma? Poor prognosis --Typically has already invaded [quizlet.com]
[…] was associated with cancer). 3 Similarly, a review of about 25 900 cholecystectomy records identified 150 cases of gallbladder cancer and 44 of calcified gallbladder, with about 7% of the calcified specimens showing signs of cancer. 6 Given the poor prognosis [cmaj.ca]
Etiology
The etiology, diagnosis, and management of PGB and its significance in a pediatric patient are discussed. [ncbi.nlm.nih.gov]
GI Radiology > Biliary > Gallbladder > Neoplastic > Porcelain Gallbladder Neoplastic Diseases of Gallbladder Pathogenesis: Unknown etiology, most likely due to chronic gallbladder inflammation and gallstones. Women are most frequently affected. [med-ed.virginia.edu]
Best Answer: Hi Tiki Porcelain or calcified gallbladder is a relatively rare condition and not much is known about its etiology. Whether it is associated with gallbladder cancer or not appears to still be up for debate. [answers.yahoo.com]
Regardless of etiology, these patients usually will present with postprandial abdominal pain, and ultrasonography is the mainstay of diagnosis. However, some gallstones are radiopaque and can be visualized on plain abdominal radiography. [bmcresnotes.biomedcentral.com]
Epidemiology
Written by Dr Sebastian Zeki Histopathology: Epidemiology The incidence is 0.1%. M:F= 1:5. Mean age is 50. 15% get gallbladder cancer. [gastroenterologybook.com]
Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer. [dovepress.com]
PubMed View Article Google Scholar Stinton LM, Myers RP, Shafer EA: Epidemiology of gallstones. Gastroenterol Clin N Am. 2010, 39: 157-169. 10.1016/j.gtc.2010.02.003. [bmcresnotes.biomedcentral.com]
Over the past two decades, much has been learned about the epidemiology of this condition and its risk factors 2 ( Table 1 3 ). [aafp.org]
Pathophysiology
Pathophysiology: Histologically, flakes of dystrophic calcium exist within the chronically inflamed gallbladder wall. The muscular wall of the gallbladder undergoes fibrotic changes. [curezone.org]
The exact pathophysiologic mechanism leading to oedema of the gallbladder wall in these diverse conditions is uncertain, but it is likely due to elevated portal venous pressure, elevated systemic venous pressure, decreased intravascular osmotic pressure [radiologyassistant.nl]
Prevention
Diet There is no specific diet that would prevent gallbladder polyps. Since gallbladder polyps are commonly associated with gallstones, the diet that can help prevent gallstones may also reduce the risk of gallbladder polyps [3,4]. [ehealthstar.com]
The first one moves calcium around the body, MGP prevents calcium from going into arteries, ducts and all kinds of soft tissues, and GAS6 is effective for cancer protection. [gallbladderattack.com]
Certain chemicals in tea may prevent cells from growing abnormally and may have anti-inflammatory effects that reduce the risk of these bile tract diseases. International Journal of Cancer, 2006. [raysahelian.com]