Medicine (MD/DO)
Biliary Disorders
Porcelain Gallbladder

Master Porcelain Gallbladder with Picmonic for Medicine

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing.

Porcelain Gallbladder

Recommended Picmonics

picmonic thumbnail
picmonic thumbnail
Primary Sclerosing Cholangitis Mechanisms
picmonic thumbnail
Primary Sclerosing Cholangitis Labs and Treatment
picmonic thumbnail
Primary Biliary Cholangitis (Primary Biliary Cirrhosis)
picmonic thumbnail
Primary Biliary Cholangitis (Primary Biliary Cirrhosis) Diagnosis and Treatment

Porcelain Gallbladder

Porcelain-seagull in porcelain-gallbladder tree
Porcelain gallbladder is a condition caused by chronic inflammation of the gallbladder, often related to gallstones. Its significance lies in the fact that there has been shown to be a link between porcelain gallbladder and increased risk of gallbladder adenocarcinoma. Specifically, some studies report an approximately 2-3% incidence of gallbladder carcinoma in patients with porcelain gallbladder. Patients are frequently asymptomatic and the disease identified incidentally on abdominal imaging, which will show a gallbladder with rim-calcifications along most of the wall, giving the appearance of an egg-shell or "porcelain" gallbladder. Symptomatic patients will present with complaints typical for gallbladder inflammation, such as right-upper quadrant pain. Patients identified to have porcelain gallbladder should undergo prophylactic cholecystectomy regardless of symptoms in order to reduce risk of malignancy.
Associated with Chronic Cholecystitis or Cholelithiasis
Crone holding flaming gallbladder and stone

Porcelain gallbladder is associated with and thought to be a result of chronic gallbladder inflammation. The vast majority of patients found to have porcelain gallbladder also have gallstones, which likely contribute to the chronic inflammation.

Increased Risk of Gallbladder Adenocarcinoma

The clinical significance of porcelain gallbladder lies in the fact that it is thought to be associated with an increased risk of adenocarcinoma, with a reported incidence of malignancy of approximately 2-3% according to some studies.

RUQ Pain
RUQ Pain-bolts

In patients who do have symptoms as a result of porcelain gallbladder, complaints will usually be non-specific and typical for any inflammatory gallbladder condition. Most commonly, symptomatic patients will report right-upper quadrant abdominal pain, though in some cases may also present with fever or jaundice due to biliary duct obstruction due to stones.

Usually Asymptomatic
Thumbs up

Patients with porcelain gallbladder are frequently asymptomatic, as the chronic and indolent inflammation may not be severe enough to trigger acute symptomatic flares.

Often Found Incidentally
Surprised doctor with magnifying glass

Porcelain gallbladder is most commonly diagnosed due to incidental findings on abdominal imaging. Porcelain gallbladder appears on plain radiograph as curvilinear or rim-like calcifactions of the gallbladder wall.

Confirm with CT or Ultrasound
Cat and ultrasound machine

Porcelain gallbladder is frequently found incidentally on abdominal imaging, often on plain abdominal radiograph. However the findings on plain radiograph that may be representative of porcelain gallbladder may also be seen if the gallbladder is full of bile that is supersaturated with calcium salts, or as a result of calcified gallstones or cysts and calcifications of nearby organs. For this reason, a CT or ultrasound of the abdomen should be obtained to confirm the suspicion of porcelain gallbladder. Definitive diagnosis however can only technically made on histopathology following cholecsystectomy.

Prophylactic Cholecystectomy

Most patients with confirmed suspicion of porcelain gallbladder and no serious surgical contraindications should undergo cholecsystectomy regardless of if they have symptoms or not. This is in order to lower the risk of developing gallbladder adenocarcinoma in the future.


Take the Porcelain Gallbladder Quiz

Picmonic's rapid review multiple-choice quiz allows you to assess your knowledge.

It's worth every penny

Our Story Mnemonics Increase Mastery and Retention

Memorize facts with phonetic mnemonics

Unforgettable characters with concise but impactful videos (2-4 min each)

Memorize facts with phonetic mnemonics

Ace Your Medicine (MD/DO) Classes & Exams with Picmonic:

Over 1,920,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Medicine (MD/DO) student study app.

Picmonic for Medicine (MD/DO) covers information that is relevant to your entire Medicine (MD/DO) education. Whether you’re studying for your classes or getting ready to conquer the USMLE Step 1, USMLE Step 2 CK, COMLEX Level 1, or COMLEX Level 2, we’re here to help.

Works better than traditional Medicine (MD/DO) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.