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]

• Asymptomatic

  She remained asymptomatic 15 months later. [drplace.com]

  […] chronically inflamed and fibrotic muscular wall Wall is thickened and gallbladder is contracted Associated with gallstones in 90% Cystic duct is always obstructed 80% of patients with carcinoma of gallbladder have stones Clinical Findings Patients are usually asymptomatic [learningradiology.com]

  Five (33%) were asymptomatic and diagnosed incidentally. All specimens demonstrated chronic cholecystitis and partial calcification of the gallbladder wall. Nine (60%) had cholelithiasis. [ncbi.nlm.nih.gov]

  Often asymptomatic, Some present with biliary type pain. Rarely- firm, nontender mass in the RUQ Pathogenesis Gallbladder wall injury is due to chronic irritation by gallstones. [gastroenterologybook.com]

  Surgery should not be delayed even if the patient is asymptomatic, because the occurrence of carcinoma in porcelain gallbladder is remarkably high." [answers.yahoo.com]

• Acute Abdomen

  abdomen and new material on CT and MR angiography, lung cancer screening, pulmonary embolism, coronary artery calcium screening, and interventional CT techniques including radiofrequency ablation and CT fluoroscopy. [books.google.com]

  However, CT has become popular for evaluating the acute abdomen and often is the first modality to detect gallbladder wall thickening [2], or it may be used as an adjunct to an inconclusive sonography or for staging of disease. [radiologyassistant.nl]

  The geriatric acute abdomen. ClinGeriatr Med. 1993; 9: 547-58. 4. Chang C-C, Wang S-S. Acute Abdominal Pain in the Elderly. Int JGerontol 2007; 1: 77-82. 5. Balsano N, Cayten CG. Surgical emergencies of the abdomen. [jpma.org.pk]

• Fat Intolerance

  intolerance 1.3 0.83 43 68 Tenderness of upper abdomen 1.3 0.73 62 53 Food intolerance 1.2 0.86 51 57 Upper abdominal pain 1.2 0.74 68 43 Acute cholecystitis Murphy sign* (general population) 5.0 0.4 65 87 Chills 2.6 0.9 13 95 Right upper quadrant pain [aafp.org]

• Suggestibility

  This observation suggests that the plain radiograph is no longer adequate for evaluating possible calcifications in the upper abdomen. [ncbi.nlm.nih.gov]

  However, recent reviews suggest that the association between porcelain gallbladder and cancer is less than previously suggested. [cmaj.ca]

• Seizure

  I was in an MVA on Tuesday due to a "seizure like" episode. [justanswer.com]

• 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]

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 consists of cholecystectomy with a careful search for malignancy. [ncbi.nlm.nih.gov]

Single-incision laparoscopic cholecystectomy was feasible and safe for the treatment of porcelain gallbladder in our patient. [jstage.jst.go.jp]

[…] 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]

The unique character of this disease and the treatment implications of the diagnosis comprise the basis of this report. [drplace.com]

[…] 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]

Early detection is especially important in gallbladder carcinoma, as the prognosis for advanced disease is dismal (5-year survival rate of less than 10%) [ 3 ]. [link.springer.com]

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]

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: 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]

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]