Symptoma

Porcelain Gallbladder

In this case, there were no discrete gallstones but fibrocalcific excrescences were present. Courtesy Dr. [autopsyandcasereports.org]

CASE SUMMARY A 55-year-old female presented with complaints of intermittent pain in right upper abdomen of 15 days duration. There was no history of any fever, jaundice, and vomiting. Abdominal examination was unremarkable. [ncbi.nlm.nih.gov]

It presents a piture identical with the one taken at the time when opaque substance is administered. [jstage.jst.go.jp]

[…] registrar in radiology, C Inglis, foundation year 2 doctor, D Howlett, consultant radiologist 1 Eastbourne District General Hospital, East Sussex Hospitals Trust, Eastbourne BN21 2UD, UK Correspondence to: A Shaw aidanshaw1{at}gmail.com A 66 year old man presented [bmj.com]

  • Asymptomatic

    Porcelain gallbladder can also be asymptomatic and discovered on imaging obtained for a different reason. [en.wikipedia.org]

    Some patients present with biliary pain or even a firm mass palpable in the right hypochondriac region. 2 Often, however, patients are asymptomatic and the diagnosis is frequently done when the calcification is detected on an abdominal image performed [autopsyandcasereports.org]

    When these patients are symptomatic, even in the absence of malignancy, a cholecystectomy is a prudent approach. 1, 2, 9 However, a dilemma arises when dealing with patients who are asymptomatic, have been diagnosed incidentally and have no features to [ncbi.nlm.nih.gov]

  • Fever

    There was no history of any fever, jaundice, and vomiting. Abdominal examination was unremarkable. Ultrasound abdomen revealed a large calcified mass in gallbladder fossa with normal common bile duct and normal liver echotexture. [ncbi.nlm.nih.gov]

  • Recurrent Inflammation

    inflammation or cirrhosis, or in individuals with significant comorbidities, particularly those of a cardiac or respiratory nature. 27, 28 In a recent report, perioperative complications following a cholecystectomy in patients with PGB varied based on [ncbi.nlm.nih.gov]

  • Chronic Infection

    DISCUSSION: Etiological factors for gall bladder ca are gallstones, porcelain gallbladder, adenomatous polyps of the gallbladder, chronic infection with Salmonella typhi, carcinogen exposure (e. [freethesaurus.com]

  • Ulcer

    Cholecystenteric fistulas, porcelain gallbladders, ulcerative colitis, and certain colonic polyposes are associated with increased risk of carcinoma of the gallbladder. [freethesaurus.com]

  • Suggestibility

    However, there are as yet no clinical indicators to suggest which patients might develop malignancies in the future. [ncbi.nlm.nih.gov]

    […] gallbladder by imaging methods. 3, 5 In essence, there have been sufficiently variable results in different studies to question the association with malignancy, 2, 3, 5 - 8 although a few recent studies have highlighted the potential risk for GBC development, suggesting [autopsyandcasereports.org]

  • Salmonella Typhi

    DISCUSSION: Etiological factors for gall bladder ca are gallstones, porcelain gallbladder, adenomatous polyps of the gallbladder, chronic infection with Salmonella typhi, carcinogen exposure (e. [freethesaurus.com]

    typhi infections. 1, 11 Gallbladder cancer is notoriously aggressive, often diagnosed late and has a poor prognosis; hence, there is a need for aggressive treatment for individuals with PGB and a perceived risk of CaGB. 1, 12, 13 A late diagnosis of [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]

Prophylactic cholecystectomy is the preferred treatment for porcelain gallbladder. Footnotes Source of support : Nil Conflict of interest : None REFERENCES 1. Ashur H, Siegal B, Oland Y, Adam TG. [ncbi.nlm.nih.gov]

Typical symptoms which are suggestive of gallbladder cancer are of little clinical benefit as they tend to indicate advanced malignancy with a poor prognosis. [ncbi.nlm.nih.gov]

DISCUSSION: Etiological factors for gall bladder ca are gallstones, porcelain gallbladder, adenomatous polyps of the gallbladder, chronic infection with Salmonella typhi, carcinogen exposure (e. [freethesaurus.com]

Biliary complications postlaparoscopic cholecystectomy: Mechanism, preventive measures, and approach to management: A review. [ncbi.nlm.nih.gov]