This patient presented with signs and symptoms of bowel obstruction and was demonstrated to have an obstructing transverse colon tumor with an incompetent ileocecal valve at CT.
The imaging findings are pathognomonic of a porcelain GB, an incidental finding in this case.
porcelain GB is often an incidental finding. It has previously been associated with an increased risk of cancer, but more recent studies have demonstrated lower incidences, and follow-up is not indicated1
Case courtesy of Dr Jamie Franklin and Dr Ed Godfrey on behalf of the British Society of Gastrointestinal and Abdominal Radiology.