Porcelain Gallbladder: Why It Matters

Last updated: 27 June 2026Medical content lead: Op.Dr.Gökhan ATEŞ

Porcelain gallbladder refers to calcification of the gallbladder wall after chronic inflammation. Its characteristic imaging appearance and association with cancer put it in a special evaluation group.

How does it develop?

Long-standing chronic cholecystitis leads to calcium deposition in the wall. Most patients also have gallstones.

Symptoms

It is usually silent and discovered incidentally on ultrasound, CT or plain film. Some patients have chronic right-upper-quadrant discomfort.

Why it matters

  • Increased risk of gallbladder cancer
  • Diagnostic difficulty
  • Coexisting stones and chronic inflammation

Treatment

Laparoscopic cholecystectomy is generally recommended, especially for patchy (selective) calcification and mucosal changes. The decision is individual and risk-based.

Frequently Asked Questions

No — the decision is now risk-based, but surgery is discussed in most cases.

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