A Review of the Literature on the Porcelain Gallbladder

Abstract

Porcelain gallbladder is a rare and potentially serious condition characterized by calcification of the gallbladder wall. Chronic inflammation and bile flow obstruction are thought to be important factors in its pathogenesis. The clinical presentation of this condition can range from asymptomatic to severe complications such as bile duct obstruction and acute cholecystitis. Diagnosis is made by a combination of clinical, radiological and biopsy findings. Treatment is controversial due to the rarity of the condition and the lack of clinical studies. In most cases, cholecystectomy is recommended as definitive treatment to prevent serious complications. Careful evaluation and an individualized approach to the management of this potentially serious condition is needed.