International Surgery Journal | May 2018 | Vol 5 | Issue 5 Page 1978 International Surgery Journal Murugesan S et al. Int Surg J. 2018 May;5(5):1978-1980 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Case Report Porcelain gall bladder: a case report Sowmya Murugesan, Chandru R.*, Ramya Ramakrishnan, Rajiv Raj, Kishore Kumar G. INTRODUCTION Porcelain gallbladder is rare condition with an incidence of 0.06 to 0.8% and is associated with chronic cholecystitis. 1 The pathogenesis of wall calcifications is not clear, though may result from inflammatory scarring of the gallbladder wall. The incidence of carcinoma in porcelain gall bladder is between 5 % and 12 %. 2 Hence, Prophylactic cholecystectomy should be considered. CASE REPORT A 45-year-old female was admitted with complaints of intermittent episodes of right hypochondrial pain on and off for the past two months associated with vomiting. No history of fever or jaundice was reported. Her medical history included hypertension. Figure 1: USG abdomen showing dense shadowing in the gall bladder. Abdominal examination showed minimal tenderness in the right hypochondrium. Liver function test was within normal limits. Ultrasound abdomen revealed contracted gall bladder, with multiple calculi, largest measuring 6mm and wall thickness was 3 mm (Figure 1). ABSTRACT Porcelain gall bladder is a rare entity and a morphological variant of chronic cholecystitis. Dystrophic calcification along with inflammatory scarring of the wall gives the porcelain nature to the gall bladder. Patients are mostly asymptomatic and incidentally diagnosed on X-ray, ultrasound or CT abdomen. In the early stages they can be a surprise as only a histopathological diagnosis. Prophylactic cholecystectomy is recommended in view of high risk of malignancy. Keywords: Carcinoma of gall bladder, Cholecystectomy, Porcelain gall bladder Department of Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India Received: 13 February 2018 Accepted: 09 March 2018 *Correspondence: Dr. Chandru R., E-mail: chandru684@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2349-2902.isj20181624