A Rare Case of Simultaneous Intrahepatic and Porcelain Gallbladder: Case Report

A Rare Case of Simultaneous Intrahepatic and Porcelain Gallbladder: Case Report

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Ehsan Aliniagerdroudbari,1 Nazanin Ershadinia,2 Ghasem Bagherpor,3 Sepideh Babaniamansour4 1Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Department of Surgery, Islamic Azad University of Medical Sciences, Sari, Mazandaran, Iran; 3Department of Surgery, Valiasr Hospital of Qaemshahr, Islamic Azad University of Medical Sciences, Sari, Mazandaran, Iran; 4Department of Surgery, Islamic Azad University of Medical Sciences, Tehran, IranCorrespondence: Sepideh BabaniamansourSchool of Medicine, Islamic Azad University of Medical Sciences, Shariati Street, Qolhak, Tehran, IranTel +98 911 216 0329Email [email protected]: Intrahepatic gallbladder is a rare anomaly that is due to the failure of gallbladder migration from liver to its proper position.This condition increases the read more risk of cholelithiasis, hepatic abscess and cholangiocarcinoma.Calcification in the wall of the gallbladder, which is known as porcelain gallbladder, also increases the risk of malignancy.In this report a 47-year-old man presented at the johnny cash style clothing emergency department with continuous right upper quadrant abdominal pain who was misdiagnosed with acute cholecystitis.

During abdominal surgery, gallbladder was not detectable in its proper location.Therefore, the patient underwent enhanced abdominal computed tomography scan and magnetic resonance cholangiopancreatography and the results showed an intrahepatic porcelain gallbladder.In order to avoid future complications, intrahepatic gallbladder should always be considered in patients whose physical examination and radiologic findings do not match.Keywords: gallbladder, porcelain, intrahepatic, cholecystitis, case report.