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Porcelain gallbladder complicated with pancreas divisum
Author(s) -
Takeda Kazuhisa,
Sekido Hitoshi,
Sugita Mitsutaka,
Tanaka Kuniya,
Endo Itaru,
Togo Shinji,
Shimada Hiroshi
Publication year - 2006
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-006-1116-2
Subject(s) - pancreas divisum , medicine , gallbladder , magnetic resonance cholangiopancreatography , endoscopic retrograde cholangiopancreatography , radiology , gallstones , gallbladder stone , cholecystectomy , abdomen , pancreas , general surgery , surgery , pancreatic duct , pancreatitis
We report a rare case of porcelain gallbladder associated with pancreas divisum (PD). A 60‐year‐old woman suffered from discomfort in the back of the right side. An abdominal radiograph revealed a calcified spherical mass in the right upper quadrant. Ultrasonography revealed a scattered echo with a posterior acoustic shadow in the gallbladder wall. A plain computed tomography (CT) scan showed flecks of intramural calcification in the wall of the gallbladder. Endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) showed separate openings for the Santorini and Wirsung ducts. The patient underwent cholecystectomy after porcelain gallbladder and pancreas divisum had been diagnosed. The porcelain gallbladder resulted from a stone impacted in the neck of the gallbladder. Patients with PD should be followed carefully, because gallstones often accompany PD, and porcelain gallbladder may result, as in this patient.