Multidetector CT diagnosis of massive hemobilia due to gallbladder polyposis in a child with metachromatic leukodystrophy

Pediatr Radiol. 2015 Dec;45(13):2017-20. doi: 10.1007/s00247-015-3411-z. Epub 2015 Jul 10.

Abstract

Hemobilia secondary to gallbladder polyposis is rare in children but has been reported in a few children with metachromatic leukodystrophy. We present a case with preoperative multidetector computed tomography (MDCT) diagnosis of massive hemobilia caused by gallbladder polyposis in a patient with metachromatic leukodystrophy. Our report highlights the importance of both awareness of the association of gallbladder polyposis with other syndromes such as metachromatic leukodystrophy as well as the possibility of this entity presenting with life-threatening bleeding.

Keywords: Child; Computed tomography; Gallbladder; Hemobilia; Metachromatic leukodystrophy; Polyposis.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Gallbladder Diseases / complications
  • Gallbladder Diseases / diagnostic imaging*
  • Gallbladder Diseases / surgery
  • Hemobilia / diagnostic imaging*
  • Hemobilia / etiology
  • Hemobilia / surgery
  • Humans
  • Leukodystrophy, Metachromatic / complications
  • Leukodystrophy, Metachromatic / diagnostic imaging*
  • Magnetic Resonance Imaging
  • Multidetector Computed Tomography*
  • Polyps / complications
  • Polyps / diagnostic imaging*
  • Polyps / surgery