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

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

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]

[…] 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]

• 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]

• Hypertension

  Apart from hypertension, he had no relevant medical history. On examination he was not jaundiced and his abdomen was soft with tenderness in the right upper quadrant. Murphy’s sign was positive. Plain abdominal radiography was performed (fig 1 ⇓ ). [bmj.com]

• Jaundice

  Symptoms [ edit ] Symptoms are similar to gallstones and can include abdominal pain (especially after eating), jaundice, and vomiting. Porcelain gallbladder can also be asymptomatic and discovered on imaging obtained for a different reason. [en.wikipedia.org]

  On examination he was not jaundiced and his abdomen was soft with tenderness in the right upper quadrant. Murphy’s sign was positive. Plain abdominal radiography was performed (fig 1 ⇓ ). [bmj.com]

  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]

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]

Optimal surgical treatment in patients with T1b gallbladder cancer: An international multicenter study. [revistacirugia.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]

Epidemiology of gallbladder cancer. Clin Exp Hepatol. 2019;5:93- 102. https://doi.org/10.5114/ceh.2019.85166 Stinton L, Shaffer E. Epidemiology of gallbladder disease: cholelithiasis and cancer. [revistacirugia.org]

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

Gallbladder cancer in South America: epidemiology and prevention. Chin Clin Oncol. 2019;8:32. https://doi.org/10.21037/cco.2019.07.12 Vargas J, Ramos J. [revistacirugia.org]