Calcification of the gallbladder wall is classically known as which condition?

• A. Porcelain Gallbladder
• B. Cholangiocarcinoma
• C. Hydrops Gallbladder
• D. Cholecystitis with Emphysema

Answer: (A)

Calcification of the gallbladder wall is classically porcelain gallbladder. This condition arises from long-standing chronic cholecystitis, where calcium deposits form in the gallbladder wall and produce a dense, radiopaque shell on imaging. It often presents as a thickened, calcified wall that can look like porcelain on radiographs or CT. Because this calcified state reflects chronic inflammation, it carries an association with an increased risk of gallbladder carcinoma, which is why recognizing it matters clinically and surgical management is frequently considered. Other scenarios describe different problems: hydrops gallbladder is a distended, overstretched gallbladder from obstruction and bile stasis, cholangiocarcinoma is a cancer of the bile ducts, and emphysematous cholecystitis involves gas in the wall due to infection, not calcification of the wall.