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Article
May 1978

Calcified Gallbladder (Porcelain Gallbladder)

Author Affiliations

From the Department of Surgery A, Asaf Harofe Hospital and Sackler School of Medicine, Tel-Aviv University, Zerifin, Israel.

Arch Surg. 1978;113(5):594-596. doi:10.1001/archsurg.1978.01370170056010
Abstract

• Calcification of the gallbladder wall, otherwise known as porcelain gallbladder, is a relatively rare disease and is frequently asymptomatic. Symptoms suggestive of biliary disease are often absent in patients with this manifestation. Since the condition is uncommon, it is important to recognize the clinical as well as the roentgenographic characteristics of the disease because of the high frequency (22%) of adenocarcinoma in the porcelain gallbladder.

To our knowledge, no pathognomic sign of symptoms of the disease have been reported so far. Of five cases of porcelain gallbladder reported, carcinoma of the gallbladder was discovered in one patient. This disease seems to appear mostly in the sixth decade of life and is more prevalent in women. 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. Surgery should not be delayed even if the patient is asymptomatic since the occurrence of carcinoma in porcelain gallbladder is remarkably high.

(Arch Surg 113:594-596, 1978)

References
1.
Allison SS:  Complete ossification of gallbladder . London Med Gas 1844-1845, pp 35, 137.
2.
Jutras A, Longtin M:  Calcified gallbladder . Can Med Assoc J 54:434-437, 1946.
3.
Osler W: The Principles and Practice of Medicine , ed 10. New York, Appleton-Century-Crofts, 1925.
4.
Naisons P:  Presentation d'une vesicule biliare completement cretifice . Bull Me'm Soc Anat Paris 84:15-16, 1909.
5.
Zawadowaki W, Plewniak W:  Gallenblasen Krebs mit Kalkablagereungen und Porzellan-gallenblase im Roentgenbild . Roentgenpraxis 8:318-321, 1936.
6.
Florcken H:  Die "Porzellan Gallenblase" (cholecystopathia chronica calcarea) . Dtsch Z J Chir 216:264-270, 1929.Article
7.
Kettunen K:  Calcification of the gallbladder wall: Report of case so-called "porcelain gallbladder" . Acta Radiol 36:341-344, 1951.Article
8.
Cornell GH, Clarke R:  Vicarious calcification involving the gallbladder . Ann Surg 149:267-272, 1959.Article
9.
Hubney MJ, Marcus SM, Ragius AB:  Calcification of the gallbladder: Roentgenographic and pathologic study . Radiology 39:88-91, 1942.Article
10.
Polk HG Jr:  Cancer and the calcified gallbladder . Gastroenterology 50:582-585, 1966.
11.
Ochsner SF, Carrera GM:  Calcification of the gallbladder: Porcelain gallbladder . Am J Roentgenol 89:847-853, 1963.
12.
Etala E:  Cancer de la vesicula biliar . Pressa Med Argent 49:2283-2299, 1962.
13.
Fowler WF:  Calcareous changes of the gallbladder wall . Ann Surg 78:623-727, 1923.Article
14.
Feldman N:  Calcification of the gallbladder . Clinical Roentgenology of the Digestive Tract , ed 4. Baltimore, Williams & Wilkins, 1957, pp 605-606.
15.
Phemister DB, Rewbridge AG, Rudisill H Jr:  Calcium carbonate gall stones and calcification of gallbladder following cystic duct obstruction . Ann Surg 94:493-516, 1931.Article
16.
Berk RN, Armbuster TG, Saltzstein SL:  Cancer in porcelain gallbladder . Radiology 106:29-31, 1973.Article
17.
Kazmievski RH:  Primary adenocarcinoma of the gallbladder with intramural calcification . Am J Surg 82:248-250, 1951.Article
18.
Phemister DB, Rewbridge AG, Rudill H Jr:  Cholecystitis and cystic duct obstruction: Significance in formation of gallstones rich in calcium carbonate and in calcification of gallbladder wall . JAMA 97:1843-1847, 1931.Article
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