Porcelain gallbladder
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| Porcelain gallbladder Classification and external resources | |
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| CT: Porcelain gallbladder (Image courtesy of RadsWiki) | |
| ICD-9 | 575.8 |
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Porcelain gallbladder is a calcification of the gallbladder believed to be brought on by excessive gallstones but more studies are necessary to determine the exact cause.
Diagnosis
Patients are usually asymptomatic, and porcelain gallbladder is found incidentally on plain abdominal radiographs, sonograms, or CT images.
Porcelain gallbladder often results in a diagnosis of gallbladder cancer. The association with the two is uncertain; gallbladder cancer is rare, but is almost always found with porcelain gallbladder. The prognosis is poor, in that the gallbladder is usually asymptomatic until the cancer has spread. It is predominantly found in overweight female patients of middle age. Symptoms can include abdominal pain (especially after eating), jaundice, and vomiting.
Ultrasonography
(Images courtesy of RadsWiki)
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Computed Tomography
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Treatment
If porcelain gallbladder is found very early before symptoms present (such as during a surgery or incidental during other diagnostic studies), the gallbladder can be removed and the chances for recovery are very good.
Surgical treatment of porcelain gallbladder is based on results from studies performed in 1931 and 1962, which revealed an association between porcelain gallbladder and gallbladder adenocarcinoma (22% of porcelain gallbladders will develop gallbladder adenocarcinoma).
External Links
WikiDoc Research Resources for Porcelain gallbladder | |
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| Evidence Based Medicine Regarding Porcelain gallbladder | Cochrane Collaboration on Porcelain gallbladder • Bandolier on Porcelain gallbladder • TRIP on Porcelain gallbladder |
| Cost Effectiveness of Porcelain gallbladder | Cost Effectiveness of Porcelain gallbladder |
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| Genetics, Pharmacogenomics, and Proteinomics of Porcelain gallbladder | Genetics of Porcelain gallbladder • Pharmacogenomics of Porcelain gallbladder • Proteomics of Porcelain gallbladder |
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
