Calcified Gall Bladder in a 52-year-old Man

Abstract

A 52-year-old man with no comorbidities was seen in the emergency department with a two-day history of right-sided dull aching, non-radiating upper abdominal pain. He had no symptoms of liver or peptic ulcer disease. His general examination was unremarkable. Abdominal examination revealed a palpable, non-tender, hard gall bladder (GB). Carcinoma of the GB was suspected, and the patient was investigated. Liver function tests (LFTs) were normal, and ultrasonography (USG) and computed tomography (CT) of the abdomen revealed a calcified structure in the GB fossa. He underwent an uneventful laparoscopic cholecystectomy. Intraoperatively, the GB was stony hard with a thick and fibrosed wall. The GB lumen was occupied by a large gall stone. Histopathology revealed a calcified, fibrotic GB with chronic inflammation with no evidence of dysplasia or neoplastic change. He made a good postoperative recovery and has been kept under close follow-up, and after three years, is asymptomatic and doing well.