Safra kesesi kalsifikasyon taklitçileri

Özet

Sağ üst kadrandaki yoğun kalsifikasyon, safra kesesi duvarı kalsifikasyonu sanılabileceği gibi lümene oturmuş iri taş, damar duvarı veya komşu kalsifiye bir lezyon da olabilir. İnce kesitli kontrastsız BT'de kalsifik odağın kese duvarı, lümen ya da komşu anatomik yapı ile ilişkisini izlemek ayrımın temelidir. Gerçek duvar kalsifikasyonunu taş veya damar kalsifikasyonu olarak raporlamak, eşlik eden yumuşak doku kitlesinin gözden kaçmasına yol açabilir; tersine yanlış porselen kese tanısı gereksiz endişe doğurur.

Faz ve pencere

Kontrastsız tanısal

BT'de safra kesesi lümenini tamamen dolduran taşlar, safra çamuru ve mukozal kontrastlanma porselen kese yanlış tanısına yol açabilir.

Önerilen pencereler: Batın (G 400 / M 50), Kemik (G 1800 / M 400), Yumuşak doku (G 400 / M 40).

BT bulguları

• Porselen kese lehine kalsifikasyon, karaciğer yatağında kese konturunu takip eden kavisli veya parçalı mural çizgi şeklindedir.
• Duvar boyunca kalsifikasyonun lümen içindeki safra ile dış yumuşak dokuyu ayıran konumunu ardışık aksiyel ve koronal kesitlerde doğrula.
• İri kalsifiye taş, duvar konturundan ayrı, lümen içinde bağımlı duran nodüler veya fasetli bir odak olarak izlenebilir.
• Sağ üst kadran kalsifikasyonlarının ayırıcı tanısında abdominal aortanın aterosklerotik anevrizması yer alabilir.
• Kese komşuluğundaki kalsifiye karaciğer kisti, adrenal lezyon, pankreas kisti veya lenf nodu safra kesesi duvarından ayrı bir merkez taşır.
• Mural kalsifikasyona eşlik eden fokal yumuşak doku kalınlaşması, düzensiz kontur veya karaciğer yatağına uzanım ayrıca raporlanmalıdır.

Ölçütler ve sınıflamalar

Porselen kese kalsifikasyon paterni

Porselen kese kalsifikasyonu, yaygınlığına göre tam intramural kalsifikasyon ve selektif mukozal kalsifikasyon olarak sınıflandırılır.

Normalde

Safra kesesi duvarındaki halka benzeri kalsifikasyon porselen kese lehine bir bulgu olabilir. Duvar kalsifikasyonu şüphesinde, lümeni dolduran büyük taşları ve sağ üst kadran kalsifikasyonlarının ayırıcı tanısındaki abdominal aortanın aterosklerotik anevrizmasını göz önünde bulundurun.

Ayırıcı tanı

Lümende kalsifiye safra taşı

kese duvarından ayrı, lümende bağımlı bir nodül veya fasetli kitle görünür.

Sağ üst kadran kalsifikasyonlarının ayırıcı tanısında abdominal aortanın aterosklerotik anevrizması da yer alır.

Kalsifiye adrenal tümörler sağ üst kadran kalsifikasyonlarının ayırıcı tanısında yer alabilir.

Safra kesesi duvarı kalsifikasyonuna eşlik eden safra kesesi kitlesi, malignite açısından önemli bir bulgudur.

Tuzaklar

• Taşlarla tamamen dolu safra kesesi, BT'de porselen kese olarak yanlış yorumlanabilir.
• Kontrastlı BT'de opasifiye damar kesiti küçük kalsifik odak gibi görünebilir; damar ağacını yukarı ve aşağı doğru takip et ve kontrastsız seri varsa karşılaştır.
• BT kalsiyumu saptamada çok duyarlı olduğundan porselen kese için aşırı tanıya yol açabilir; lümeni dolduran taşlar, safra çamuru ve mukozal kontrastlanma sık taklitçilerdir.
• Selektif mukozal kalsifikasyon safra kesesi kanseriyle ilişkilendirilmiş, tam intramural tipte bu ilişki gösterilmemiştir; eşlik eden safra kesesi kitlesi maligniteyle ilişkili olsa da ileri hastalık bulgusudur.

Kendini dene

1. Porselen kese kalsifikasyonu, yaygınlığına göre hangi iki tipe ayrılır?

   • Tam intramural ve selektif mukozal kalsifikasyon
   • İntralüminal ve perikolesistik kalsifikasyon
   • Fokal ve yaygın serozal kalsifikasyon
   • Arteriyel ve venöz kalsifikasyon
   Cevabı göster

   Tam intramural ve selektif mukozal kalsifikasyon. Kaynak, porselen kese kalsifikasyonunu tam intramural ve selektif mukozal olmak üzere iki tipe ayırır.

2. BT'de porselen kese için sık bildirilen yanlış tanı nedenlerinden biri hangisidir?

   • Safra kesesi lümenini tamamen dolduran taşlar
   • Safra kesesi dışındaki adrenal kist
   • Pankreas parankimindeki yağlanma
   • Karaciğer içi safra yolu genişlemesi
   Cevabı göster

   Safra kesesi lümenini tamamen dolduran taşlar. Kaynakta, lümeni tamamen dolduran taşlar porselen kese için sık bildirilen yanıltıcı nedenler arasında yer alır.

Kaynaklar

Bu sayfadaki 31 cümle ve 2 quiz sorusu aşağıdaki kaynaklardan alıntılarla otomatik olarak karşılaştırıldı; 11 cümle bu karşılaştırmada düzeltildi (2026-10-09).

1. Management of Porcelain Gallbladder, Its Risk Factors, and Complications: A Reviewpmc.ncbi.nlm.nih.gov
2. Cholecystogastric fistula masquerading as gastrointestinal stromal tumourpmc.ncbi.nlm.nih.gov
3. Case Report: Retained gallstone migrating to the chest wall after cholecystectomy presenting as chronic abscess, sinus tract, and inflammatory pseudotumorpmc.ncbi.nlm.nih.gov
4. Advances in Imaging and Diagnosis of Emphysematous Cholecystitispmc.ncbi.nlm.nih.gov
5. Imaging findings of diabetic complications from head to toe: a comprehensive radiologic reviewpmc.ncbi.nlm.nih.gov
6. Heterotopic pancreas presenting as suspicious mass in the gallbladder.pubmed.ncbi.nlm.nih.gov
7. Massive stone or is it glass: a curious case of porcelain gallbladder.pubmed.ncbi.nlm.nih.gov
8. A Surgicel™ Surprise: Retained Oxidized Regenerated Cellulose Posing as a Biloma With Retained Gallstones After Subtotal Cholecystectomy.pubmed.ncbi.nlm.nih.gov
9. Gallbladder tuberculosis as an incidental calcified mass in an elderly male: a case report.pubmed.ncbi.nlm.nih.gov
10. Case Report: Retained gallstone migrating to the chest wall after cholecystectomy presenting as chronic abscess, sinus tract, and inflammatory pseudotumor.pubmed.ncbi.nlm.nih.gov
11. Cholecystogastric fistula masquerading as gastrointestinal stromal tumour: Unusual presentation of gallbladder adenomyomatosis - a case report.pubmed.ncbi.nlm.nih.gov
12. Advances in Imaging and Diagnosis of Emphysematous Cholecystitis.pubmed.ncbi.nlm.nih.gov
13. Case Report: A typical, nearly missed jejunal gallstone ileus.pubmed.ncbi.nlm.nih.gov
14. A rare case of gastrobiliary fistula and gallbladder stones secondary to gastric foreign body: a case report.pubmed.ncbi.nlm.nih.gov
15. Metabolic dysfunction-associated gallstone disease: expecting more from critical care manifestations.pubmed.ncbi.nlm.nih.gov
16. Benign gallbladder diseases: Imaging techniques and tips for differentiating with malignant gallbladder diseases.pubmed.ncbi.nlm.nih.gov
17. Carcinoma of the gallbladder presenting as haemorrhagic cholecystitis.pubmed.ncbi.nlm.nih.gov
18. A Tumor in Disguise: Gallbladder Tumor Presenting as Hepatic Abscesses.pubmed.ncbi.nlm.nih.gov
19. Dual-energy computed tomography of the abdomen: A reliable trouble-shooter.pubmed.ncbi.nlm.nih.gov
20. Changes Connected to Early Chronic Pancreatitis and Early Pancreatic Cancer in Endoscopic Ultrasonography (EUS): Clinical Implications.pubmed.ncbi.nlm.nih.gov
21. Porcelain gallbladder secondary to chronic cholelithiasis with filled gallstones: A case report and a minimal literature review.pubmed.ncbi.nlm.nih.gov
22. Gallbladder cancer revisited: the evolving role of a radiologist.pubmed.ncbi.nlm.nih.gov
23. Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report.pubmed.ncbi.nlm.nih.gov
24. Early detection of gallbladder cancer: Current status and future perspectives.pubmed.ncbi.nlm.nih.gov
25. Intracholecystic papillary neoplasm in a pediatric patient: a case report.pubmed.ncbi.nlm.nih.gov
26. Computed Tomographic Findings of Primary Hepatic Extraskeletal Osteosarcoma With Peritoneal Metastasis via Periportal Space in a Dog.pubmed.ncbi.nlm.nih.gov
27. Lessons Learned From Cholecystectomy for a Giant Gallstone.pubmed.ncbi.nlm.nih.gov
28. A Rare Case of Squamous Cell Carcinoma of the Gallbladder Presenting as a Bleeding Colonic Mass.pubmed.ncbi.nlm.nih.gov
29. Case Report: Successful R0 resection following conversion immunochemotherapy in a patient with biliary tract cancer and multiple metastases discovered after laparoscopic gallstone surgery.pubmed.ncbi.nlm.nih.gov
30. Depicting Characteristic Staghorn Vessels in Solitary Fibrous Tumor of the Liver With Contrast-Enhanced Ultrasound and Ultrasound Localized Microscopy: A Case Report.pubmed.ncbi.nlm.nih.gov
31. Imaging of pancreatic hepatoid adenocarcinoma: a scoping review.pubmed.ncbi.nlm.nih.gov
32. Surgical management of biliary fistula following associating liver partition and portal vein ligation for staged hepatectomy in pediatric hepatoblastoma: a case report and literature review.pubmed.ncbi.nlm.nih.gov
33. Development and validation of a nomogram for predicting postoperative survival in gallbladder cancer.pubmed.ncbi.nlm.nih.gov
34. Clinical and Molecular Signatures of Gallbladder Lesions: Insights into Metabolic and Inflammatory Pathways.pubmed.ncbi.nlm.nih.gov
35. Case Report: Clinical and histopathological findings of porcelain gallbladder in a dog.pubmed.ncbi.nlm.nih.gov
36. A Diagnostic Dilemma in Hepatic Cystic Lesions: Radiological Mimicry of Biliary Cystadenoma and Hydatid Cyst in a Histologically Confirmed Simple Hepatic Cyst.pubmed.ncbi.nlm.nih.gov
37. ⁶⁸Ga-FAPI Avidity in Fat Necrosis and Adrenal Adenoma: Expanding the Spectrum of Benign Pitfalls in Oncologic Imaging.pubmed.ncbi.nlm.nih.gov
38. 불분명한 소아 복부 종괴: 영상 기반 진단 접근법.pubmed.ncbi.nlm.nih.gov
39. Application of robotic-assisted hepatopancreatoduodenectomy in non-jaundiced gallbladder cancer patient with invasion of the common bile duct: A case report.pubmed.ncbi.nlm.nih.gov
40. Right-lobe hepatic mucinous cystic neoplasm with an adjacent large hemorrhagic-appearing cyst: Markedly elevated serum CEA and CA19-9 despite benign imaging/pathology.pubmed.ncbi.nlm.nih.gov
41. Guidance for clinical practice using emergency and point-of-care ultrasonography.pubmed.ncbi.nlm.nih.gov
42. Beyond embryological remnants: imaging of ligamentum teres hepatis and falciform ligament pathologies.pubmed.ncbi.nlm.nih.gov
43. Imaging of intestinal vasculitis focusing on MR and CT enterography: a two-way street between radiologic findings and clinical data.pubmed.ncbi.nlm.nih.gov
44. Diagnosis, Preoperative Evaluation, and Assessment of Resectability of Pancreatic and Periampullary Cancer.pubmed.ncbi.nlm.nih.gov
45. Radiological diagnosis of gallstone sigmoid ileus or coleus: Case report and literature review.pubmed.ncbi.nlm.nih.gov
46. Acalculous cholecystitis- an imaging and therapeutic update.pubmed.ncbi.nlm.nih.gov
47. The role of computed tomography in enterolith causing small bowel obstruction: A case series.pubmed.ncbi.nlm.nih.gov
48. Surgical management strategies and postoperative outcomes of choledochal cysts in children: the role of preoperative radiological assessment in a retrospective observational study.pubmed.ncbi.nlm.nih.gov
49. Portal vein recanalization and transjugular intrahepatic portosystemic shunt in chronic portal vein thrombosis: a narrative review.pubmed.ncbi.nlm.nih.gov
50. Lymphangiosis Carcinomatosa of the Liver and Extrahepatic Bile Duct Due to Gastric Cancer: A Case Report and Literature Review.pubmed.ncbi.nlm.nih.gov
51. Management of concomitant cholecystoduodenal and cholecystocolonic fistulas with sigmoid colonic gallstone: a case report.pubmed.ncbi.nlm.nih.gov
52. Gallbladder mucinous cystic neoplasm: Diagnostic challenges and multimodality imaging correlation.pubmed.ncbi.nlm.nih.gov
53. Infiltrative gallbladder tuberculosis versus locally infiltrating tumour of the gallbladder: a diagnostic dilemma unmasked by histopathology.pubmed.ncbi.nlm.nih.gov
54. Duodenal Obstruction and Grade III Acute Cholangitis Following Pancreaticoduodenal Artery Aneurysm Rupture During Conservative Management of Acute Type B Aortic Dissection: A Case Report.pubmed.ncbi.nlm.nih.gov
55. Novel insights into the role of the renal interstitial microenvironment in Randall's plaque formation (Review).pubmed.ncbi.nlm.nih.gov
56. Combined Targeted Drug Delivery Systems for Mineral Metabolism Disorders in Chronic Kidney Disease: A Narrative Review.pubmed.ncbi.nlm.nih.gov
57. Massive Ovarian Fibrothecoma Mimicking Advanced Ovarian Cancer in a High-Risk Patient: Diagnostic Challenges and Selective Use of Preoperative Biopsy.pubmed.ncbi.nlm.nih.gov
58. Non-neoplastic conditions mimicking peritoneal carcinomatosis at CT imaging.pubmed.ncbi.nlm.nih.gov
59. Diagnostic utility of ultrasonography for thoracic and abdominal bacterial and parasitic diseases in ruminants: a comprehensive overview.pubmed.ncbi.nlm.nih.gov
60. Imaging features and management of focal liver lesions.pubmed.ncbi.nlm.nih.gov
61. Clinical and imaging manifestations of metastases from rare sites.pubmed.ncbi.nlm.nih.gov
62. Von Hippel-Lindau Disease-Associated Endolymphatic Sac Tumours: Seven Cases and Genotype-Phenotype Features.pubmed.ncbi.nlm.nih.gov
63. Gallbladder Cancer in the 21st Century.pubmed.ncbi.nlm.nih.gov
64. Role of magnetic resonance cholangiopancreatography in the evaluation of biliary disease.pubmed.ncbi.nlm.nih.gov
65. Imaging of malignancies of the biliary tract- an update.pubmed.ncbi.nlm.nih.gov
66. Retrospective Three-Dimensional CT Reconstruction in Complex Emergency Hepato-Pancreato-Biliary Surgery: A Proof-of-Concept Case Series with Anatomical Concordance to Intraoperative Findings and Narrative Review.pubmed.ncbi.nlm.nih.gov
67. Diffuse cystic lung diseases-a primer for radiologists.pubmed.ncbi.nlm.nih.gov
68. Utility of Tei Index, carotid IMT, and crouse score in coronary artery calcification assessment and MACCE prediction in elderly patients.pubmed.ncbi.nlm.nih.gov
69. A successful case of revascularization with a hybrid intervention for Leriche syndrome combined with bilateral femoropopliteal occlusive disease.pubmed.ncbi.nlm.nih.gov
70. Association Between DOAC Exposure and Lower-Extremity Arterial Calcification: A Propensity-Matched Exploratory CT Study.pubmed.ncbi.nlm.nih.gov
71. Heart-liver co-management: epidemiology, mechanisms, and novel therapeutic approaches for metabolic dysfunction-associated steatotic liver disease and coronary artery disease.pubmed.ncbi.nlm.nih.gov
72. Predicting biliary stricture after liver transplantation based on CT imaging features combined with clinicopathological factors.pubmed.ncbi.nlm.nih.gov
73. The Quality Assessment of Virtual Unenhanced and Blending Images Derived from Dual-Energy CT for Detecting Colorectal Cancerpubmed.ncbi.nlm.nih.gov
74. Focal incidental upper abdominal findings on unenhanced chest computed tomography that do not require further imaging: a roadmap for the thoracic radiologist.pubmed.ncbi.nlm.nih.gov
75. Gallbladder polyps and adenomyomatosis.pubmed.ncbi.nlm.nih.gov
76. Cardiogenic Shock Following Sewing Needle Aspiration.pubmed.ncbi.nlm.nih.gov
77. Imaging diagnosis of Caroli-like disease with concurrent extrahepatic biliary obstruction in a young small-breed dog: case report.pubmed.ncbi.nlm.nih.gov
78. The Many Hidden Faces of Gallbladder Carcinoma on CT and MRI Imaging-From A to Z.pubmed.ncbi.nlm.nih.gov
79. Management of Porcelain Gallbladder, Its Risk Factors, and Complications: A Review.pubmed.ncbi.nlm.nih.gov
80. Rolling in the Deep: Imaging Findings and Diagnostic Pearls in Gallstone Ileus.pubmed.ncbi.nlm.nih.gov
81. Human biomarker navigator.pubmed.ncbi.nlm.nih.gov
82. Update on the role of imaging in management of metastatic colorectal cancer.pubmed.ncbi.nlm.nih.gov
83. Commentary: an eye on PET quantification.pubmed.ncbi.nlm.nih.gov
84. Towards Fixing Vessel Segmentation Breakage: A Systematic Review.pubmed.ncbi.nlm.nih.gov
85. Study on the combined application of selected virtual monoenergetic imaging, virtual non-contrast imaging, and adaptive statistical iterative reconstruction-V in head and neck CT angiography using 256-slice wide-body CT.pubmed.ncbi.nlm.nih.gov
86. Schwannoma Likely Arising from the Pancreatic Head Nerve Plexus That Mimicked a Mucinous Cystic Neoplasm and Was Treated by Pancreaticoduodenectomy: A Case Report.pubmed.ncbi.nlm.nih.gov
87. Ectopic liver tissue on the gallbladder wall with independent vascular supply: a case report.pubmed.ncbi.nlm.nih.gov
88. Trans catheter embolization of an hepatic artery pseudoaneurysm causing haemobilia: A case report.pubmed.ncbi.nlm.nih.gov
89. Endovascular repair of a common hepatic artery aneurysm using overlapping self-expanding covered stent grafts.pubmed.ncbi.nlm.nih.gov
90. Visceral artery aneurysms: a literature review of etiology, natural history, diagnosis and treatment paradigms.pubmed.ncbi.nlm.nih.gov
91. Rare hilar giant cystic cholangiogenic adenoma: a case report and literature review.pubmed.ncbi.nlm.nih.gov
92. Myval Beyond the Aortic Valve: Device-Anatomy Interaction, Procedural Strategy, and Clinical Evidence in Mitral, Tricuspid, and Pulmonary Positions.pubmed.ncbi.nlm.nih.gov
93. Assessment of Comorbidities in Chronic Obstructive Pulmonary Disease Patients by Chest High Resolution Computed Tomography (HRCT).pubmed.ncbi.nlm.nih.gov
94. Small Pulmonary Artery and Vein Volumes Independently Predict Oxygen Desaturation in Smokers.pubmed.ncbi.nlm.nih.gov
95. Radiological Assessment After Pancreaticoduodenectomy for a Precision Approach to Managing Complications: A Narrative Review.pubmed.ncbi.nlm.nih.gov
96. Incidental left paraaortic mass in a patient with gall bladder adenocarcinoma: A diagnostic challenge.pubmed.ncbi.nlm.nih.gov
97. A case report of splenic malignancy originating from the liver.pubmed.ncbi.nlm.nih.gov
98. A Case Series and Literature Review of Alveolar Echinococcosis in Kashmir, India: An Emerging Endemic Zone for Echinococcus multilocularis .pubmed.ncbi.nlm.nih.gov
99. Pancreatoblastoma with Portal Venous Invasion: A Case Series.pubmed.ncbi.nlm.nih.gov
100. Liver tissue engineering using decellularized scaffolds: Current progress, challenges, and opportunities.pubmed.ncbi.nlm.nih.gov
101. Multimodal ultrasound in the diagnosis and treatment of caudate lobe Klebsiella pneumoniae liver abscess complicated by rare gas-containing inferior vena cava thrombosis: a case report.pubmed.ncbi.nlm.nih.gov
102. Imaging insights into pediatric liver masses: A comprehensive minireview for hepatology practice.pubmed.ncbi.nlm.nih.gov
103. International Society of Paediatric Surgical Oncology (IPSO) Surgical Practice Guidelines.pubmed.ncbi.nlm.nih.gov
104. Spontaneous bacteremia and spontaneous bacterial peritonitis share similar prognosis in patients with cirrhosis: a cohort study.pubmed.ncbi.nlm.nih.gov
105. Perforated Calculous Cholecystitis and Incidental Squamous Cell Carcinoma of the Gallbladder-A Complex Relationship with a Difficult Management in the Acute Setting.pubmed.ncbi.nlm.nih.gov
106. Emerging insights of bile acids in cardiovascular physiology and disease: from molecular mechanisms to therapeutic potential.pubmed.ncbi.nlm.nih.gov
107. Aorta Rupture Due to Extracorporeal Shock Wave Lithotripsy: A Rare Case Report.pubmed.ncbi.nlm.nih.gov
108. Porcelain Gallbladderpubmed.ncbi.nlm.nih.gov
109. Mature Cystic Teratoma of the Right Adrenal Gland in a Pediatric Patient: A Case Report.pubmed.ncbi.nlm.nih.gov
110. Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts.pubmed.ncbi.nlm.nih.gov
111. Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings.pubmed.ncbi.nlm.nih.gov
112. Perioperative and Patient-Reported Clinical Outcomes of Robotic Versus Laparoscopic Cholecystectomy.pubmed.ncbi.nlm.nih.gov
113. Xanthogranulomatous cholecystitis: diagnostic complexity and review of the literature.pubmed.ncbi.nlm.nih.gov
114. The Utility of Whole Body Computed Tomography in Trauma Activations and the Impact of Incidental Findings on Patient Management: A Review.pubmed.ncbi.nlm.nih.gov
115. Cystic lesions and their mimics involving the intrahepatic bile ducts and peribiliary space: diagnosis, complications, and management.pubmed.ncbi.nlm.nih.gov

Eğitim amaçlıdır; hasta başında tanı ve tedavi kararının yerine geçmez, tıbbi tavsiye değildir. Metinler yapay zekâ desteğiyle yazıldı ve otomatik bir adımda kaynak alıntılarıyla karşılaştırıldı; bu bir tıbbi doğrulama değildir ve içerik uzman radyolog incelemesinden geçmedi. Klinik kararlarda güncel kılavuzları, kurum protokollerini ve radyoloji raporunu esas alın.