Abstract

A 70-year-old lady presented with a 5-month history of dull, right upper quadrant abdominal pain, associated with nausea, vomiting and anorexia. Clinical examination revealed hepatomegaly and a hard palpable lump in continuity with the liver. Abdominal CT scan revealed striking images of calcification of the gallbladder wall, along with a hyperdense stone with central lucency, in its lumen. Hepatic lesions suggestive of liver infiltration were also noted, probably from gall bladder malignancy. We present this CT image, because of its striking depiction of porcelain gallbladder and as a reminder of its association with malignancy.

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