A Case of Porcelain Gallbladder and a Case of Limy Bile

Abstract

We describe here each rare case of porcelain gallbladder and limy bile, in which abdominal simple X-ray e xamination revealed calcified lesion in the gallbladder. The case of porcelain gallbladder was a 40-year-old male complaining of epigastric pain. Cholecystectomy was carried out. The extirpated gallbladder, with 3 stones in it, had the stony hard and fragile wall due to calcification. Histologically the mucous membrane peeled off, and the wall was associated with diffuse calcification and fibrosis, but no malignancy was found. The other case was a 57-year-old female who was diagnosed as limy bile by X-ray examination and was operated on. The bottom room of the sandglass-shaped gallbladder, due to adenomiomatosis, was filled with limy bile. The main ingredient of the limy bile was calcium carbonate.