Iranian Red Crescent Medical Journal

Published by: Kowsar

An Unusual Ring-Shaped Gallstone Mimicking Porcelain Gallbladder in a Patient with Chronic Kidney Disease: A Case Report

Shang-Feng Tsai 1 , 2 , 3 , * and Jun-Li Tsai 4
Authors Information
1 Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
2 Department of Life Science, Tunghai University, Taichung, Taiwan
3 Department of Medicine, National Yang-Ming University, Taipei, Taiwan
4 Department of Family Medicine, Cheng Ching General Hospital, Taichung, Taiwan
Article information
  • Iranian Red Crescent Medical Journal: March 31, 2019, 21 (3); e63126
  • Published Online: May 14, 2018
  • Article Type: Case Report
  • Received: October 21, 2017
  • Revised: December 25, 2017
  • Accepted: February 15, 2018
  • DOI: 10.5812/ircmj.63126

To Cite: Tsai S, Tsai J. An Unusual Ring-Shaped Gallstone Mimicking Porcelain Gallbladder in a Patient with Chronic Kidney Disease: A Case Report, Iran Red Crescent Med J. 2019 ; 21(3):e63126. doi: 10.5812/ircmj.63126.

Copyright © 2018, Iranian Red Crescent Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Case Presentation
3. Discussion
  • 1. Qiao T, Ma RH, Luo XB, Yang LQ, Luo ZL, Zheng PM. The systematic classification of gallbladder stones. PLoS One. 2013;8(10). e74887. doi: 10.1371/journal.pone.0074887. [PubMed: 24124459]. [PubMed Central: PMC3790764].
  • 2. Ochsner SF, Carrera GM. Calcification of the gallbladder ("porcelain gallbladder"). Am J Roentgenol Radium Ther Nucl Med. 1963;89:847-53. [PubMed: 13939432].
  • 3. Kane RA, Jacobs R, Katz J, Costello P. Porcelain gallbladder: ultrasound and CT appearance. Radiology. 1984;152(1):137-41. doi: 10.1148/radiology.152.1.6729103. [PubMed: 6729103].
  • 4. Jones MW, Ferguson T. Porcelain Gallbladder. StatPearls. Treasure Island (FL); 2019. eng.
  • 5. Khan ZS, Livingston EH, Huerta S. Reassessing the need for prophylactic surgery in patients with porcelain gallbladder: case series and systematic review of the literature. Arch Surg. 2011;146(10):1143-7. doi: 10.1001/archsurg.2011.257. [PubMed: 22006872].
  • 6. Berk RN, Armbuster TG, Saltzstein SL. Carcinoma in the porcelain gallbladder. Radiology. 1973;106(1):29-31. doi: 10.1148/106.1.29. [PubMed: 4682728].
  • 7. Shimizu M, Miura J, Tanaka T, Itoh H, Saitoh Y. Porcelain gallbladder: relation between its type by ultrasound and incidence of cancer. J Clin Gastroenterol. 1989;11(4):471-6. [PubMed: 2668401].
  • 8. Goel A, Agarwal A, Gupta S, S. Bhagat T , Kumar G, K. Gupta A . Porcelain gallbladder. Euroasian J Hepatogastroenterol. 2017;7(2):181-2. [PubMed: 29201805]. [PubMed Central: PMC5670266].
  • 9. Polk HC Jr. Carcinoma and the calcified gall bladder. Gastroenterology. 1966;50(4):582-5. [PubMed: 4286335].
  • 10. Guliter S, Yilmaz S, Karakan T. Evaluation of gallbladder volume and motility in non-insulin-dependent diabetes mellitus patients using real-time ultrasonography. J Clin Gastroenterol. 2003;37(4):288-91. [PubMed: 14506384].
  • 11. Tsai CH, Wu JS, Chang YF, Lu FH, Yang YC, Chang CJ. The number of metabolic abnormalities associated with the risk of gallstones in a non-diabetic population. PLoS One. 2014;9(3). e90310. doi: 10.1371/journal.pone.0090310. [PubMed: 24598574]. [PubMed Central: PMC3943896].
  • 12. Lai SW, Liao KF, Lai HC, Chou CY, Cheng KC, Lai YM. The prevalence of gallbladder stones is higher among patients with chronic kidney disease in Taiwan. Medicine (Baltimore). 2009;88(1):46-51. doi: 10.1097/MD.0b013e318194183f. [PubMed: 19352299].
  • 13. Hahm JS, Lee HL, Park JY, Eun CS, Han DS, Choi HS. Prevalence of gallstone disease in patients with end-stage renal disease treated with hemodialysis in Korea. Hepatogastroenterology. 2003;50(54):1792-5. [PubMed: 14696406].
  • 14. Genctoy G, Ayidaga S, Ergun T, Lakadamyali H, Erbayrak M, Sezer S. Increased frequency of gallbladder stone and related parameters in hemodialysis patients. Turk J Gastroenterol. 2014;25(1):54-8. doi: 10.5152/tjg.2014.4854. [PubMed: 24918131].
  • 15. Cariati A. Blackberry pigment (whitlockite) gallstones in uremic patient. Clin Res Hepatol Gastroenterol. 2013;37(2):e69-72. doi: 10.1016/j.clinre.2012.08.004. [PubMed: 22959097].
  • 16. Nowicki M, Zwiech R, Dryja P, Sobanski W. Autonomic neuropathy in hemodialysis patients: Questionnaires versus clinical tests. Clin Exp Nephrol. 2009;13(2):152-5. doi: 10.1007/s10157-008-0121-y. [PubMed: 19153803].

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