Abnormal gallbladder morphology Porcelain gallbladder 2024-03-07T10:29:04Z Calcifying cholecystitis Most cases of porcelain gallbladder are asymptomatic. However, some patients do exhibit signs of chronic cholecystitis. Patients with chronic cholecystitis usually present with dull right upper abdominal pain that radiates to the mid back or right scapular tip. It is usually associated with fatty food ingestion. The classic physical examination will demonstrate right upper abdominal pain with deep palpation (Murphy's sign). If the patient is very thin or if the gallbladder is enlarged, a firm, hard gallbladder can be palpated in the right upper quadrant of the abdomen. Calcified gallbladder Porcelain gallbladder refers to the condition in which the inner gallbladder wall is encrusted with calcium. The wall becomes brittle, hard, and often takes on a bluish hue. It is usually found incidentally on plain abdominal x-rays or other imaging because most patients are asymptomatic. Cholecystopathia chronica calcarea