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Re: Porcelain Gallbladder - Calcified Gallbladder
 
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Published: 21 y
 
This is a reply to # 593,109

Re: Porcelain Gallbladder - Calcified Gallbladder


You should get a good juicer and your should juice every day ... apples, radish, carrots, wheatgrass ...

Get also parasites cleanse and use it.

Read all about gradual liver cleanse ... and use all that you can ...

Try enema and coffe enema ...

Change your diet!

You don't have to flush jet ... but you may need a flush after 1 -2 monts of juicing and better diet 

Eat olive oil every day, with salads!  

Excerpt from Porcelain Gallbladder


Synonyms, Key Words, and Related Terms: calcified gallbladder, calcifying cholecystitis, cholecystopathia chronica calcarea, blue gallbladder wall, gallbladder discoloration, brittle gallbladder, calcified gallbladder, gallbladder wall calcification

 

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Background: Extensive calcium encrustation of the gallbladder wall variably has been termed calcified gallbladder, calcifying cholecystitis, or cholecystopathia chronica calcarea. The term porcelain gallbladder has been used to emphasize the blue discoloration and brittle consistency of the gallbladder wall at surgery. Some authorities amalgamate the terms and call all calcified gallbladders porcelain gallbladders. The true incidence of porcelain gallbladder is unknown, but it is reported to be 0.6-0.8%, with a male-to-female ratio of 1:5. Most porcelain gallbladders (90%) are associated with gallstones.

Patients are usually asymptomatic, and porcelain gallbladder is found incidentally on plain abdominal radiographs, sonograms, or CT images. Surgical treatment of porcelain gallbladder is based on results from studies performed in 1931 and 1962, which revealed an association between porcelain gallbladder and gallbladder carcinoma. Porcelain gallbladder is uncommon, and recognizing the clinical and imaging characteristics of the disease is important because of the high frequency (22%) of adenocarcinoma in porcelain gallbladder. Surgery should not be delayed, even if the patient is asymptomatic, because the occurrence of carcinoma in porcelain gallbladder is remarkably high.

 

Pathophysiology: Histologically, flakes of dystrophic calcium exist within the chronically inflamed gallbladder wall. The muscular wall of the gallbladder undergoes fibrotic changes. Microliths are diffusely scattered throughout the mucosa, submucosa, and glandular spaces and in the Rokitansky-Aschoff sinuses. Calcification occurs in 2 forms: (1) a broad continuous band of calcification in the muscularis and (2) multiple punctate calcifications in the mucosa and glandular spaces of the mucosa. Gallstones are present in 90% of patients, hydrops obstructs the cystic duct. Most authorities consider gallbladder wall calcification to be secondary to a low-grade inflammation, but intramural hemorrhage and an imbalance in calcium metabolism also are implicated.

Calcification in the right upper quadrant of the abdomen has several causes. Calcification can be categorized by the organ system in which it appears; for example, calcification can affect the liver, gallbladder, right kidney, digestive tract, peritoneal cavity, right adrenal gland, and retroperitoneum. Diseases associated with these organs include large gallbladder opaque calculi, milk-of-calcium bile (see Image 9), echinococcal cysts (see Images 10-11), schistosomiasis and other granulomatous diseases, old healed liver infarcts (see Image 12), calcified renal cysts, renal calculi, calcified nonparasitic liver cysts, primary and metastatic liver tumors, benign liver tumors, and calcification in old adrenal hemorrhage and adrenal masses.

 

Frequency:

  • In the US: The overall incidence in the United States appears to be identical to the international incidence.
  • Internationally: Because most cases of gallbladder calcifications are not reported, determining the exact incidence is difficult. However, studies of cholecystectomy specimens reveal a 0.6-0.8% occurrence rate for extensive mural calcification.

Mortality/Morbidity: The clinical importance of porcelain gallbladder lies in its significant association with gallbladder carcinoma. Because the prognosis usually is poor in patients with gallbladder carcinoma, most authors agree that carcinoma occurs in the porcelain gallbladder with sufficient frequency to warrant prophylactic cholecystectomy.

Race: No racial predilection is reported. In regions in which gallstone disease has a high incidence, a high incidence of porcelain gallbladder might be expected; however, this relation .....

Please click here to view the full topic text: Porcelain Gallbladder

 

 
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