Pipal Dharmendra Kumar, Vardhan Vikram, Biswas Prakash, Pipal Vibha Rani, Jatoliya Himanshu
Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
J West Afr Coll Surg. 2024 Oct-Dec;14(4):440-444. doi: 10.4103/jwas.jwas_168_23. Epub 2024 Jul 18.
Commonly referred to as a "porcelain gallbladder (PGB)," gallbladder calcification is usually asymptomatic. It is observed that chronic inflammation of the gallbladder can occur as a result of another underlying condition, specifically gallstone disease. In the past, there was a belief that PGB had a correlation with gallbladder cancer, with an incidence rate of 30%. However, recent studies have indicated that the rate is only 5%-22%. Patients diagnosed with PGB, who are deemed to be at an elevated risk of developing cancer may undergo prophylactic cholecystectomies. However, recent research indicates that a subset of these patients may potentially avoid this surgical intervention. As a result of the increased risk of gallbladder cancer, and the difficulty of holding and retracting the gallbladder, laparoscopic cholecystectomy was not often recommended for patients with PGBs in the past. However, with the advancement of technology laparoscopy is now a choice for such difficult cases. Here we report a case of PGB in a 55-year-old female patient who complained of intermittent pain in the right upper abdomen with vaginal discharge. She was successfully managed laparoscopically.
胆囊钙化通常被称为“瓷性胆囊（PGB）”，通常无症状。据观察，胆囊的慢性炎症可能由另一种潜在疾病引起，特别是胆结石病。过去，人们认为瓷性胆囊与胆囊癌有关，发病率为30%。然而，最近的研究表明，这一比例仅为5%-22%。被诊断为瓷性胆囊且被认为患癌风险升高的患者可能会接受预防性胆囊切除术。然而，最近的研究表明，这些患者中的一部分可能可以避免这种手术干预。由于胆囊癌风险增加，且难以握住和牵拉胆囊，过去对于瓷性胆囊患者通常不推荐进行腹腔镜胆囊切除术。然而，随着技术的进步，腹腔镜手术现在已成为此类困难病例的一种选择。在此，我们报告一例55岁女性瓷性胆囊患者，她主诉右上腹间歇性疼痛并伴有阴道分泌物。她通过腹腔镜手术成功治愈。
