Gallbladder Polyps: Rare Lesions in Childhood

J Pediatr Gastroenterol Nutr. 2019 Jun;68(6):e89-e93. doi: 10.1097/MPG.0000000000002269.

Abstract

Objective: Unlike adults, gallbladder polyps (GPs) are rare in childhood. The aim of this study was to evaluate patients with a GP diagnosis.

Methods: Patients who were diagnosed with GP via ultrasonography from October 2012 to October 2017 were retrospectively evaluated in terms of sociodemographic characteristics and laboratory findings.

Results: The study included 19 patients diagnosed with GP and followed up in our department. The patients comprised 14 (73.6%) girls with a mean age of 13.9 ± 4.1 years and a mean follow-up period of 10.2 ± 5.4 months (range, 3-26 months). The most common presenting symptom of the patients (n = 15, 78.9%) for ultrasonography was abdominal pain without biliary symptoms. Location of the polyps was in the corpus in 55% of patients, and either in the fundus (20%) or the neck of the gallbladder (25%). The average diameter of the polyps was 4.5 ± 1.6 mm (range, 2-9 mm). Multiple polyps were observed in 3 patients. No significant change in the number or size of polyps was noted at the end of the follow-up periods. Cholecystectomy was applied to 1 patient who had >5 polyps with a rapid increase in size, and the pathology report was hamartomatous polyp. There was no remarkable change in the clinical or laboratory findings of other patients during the follow-up period.

Conclusion: In this study, GPs could be seen in young children as young as 16 months of age and ultrasonography is sufficient for follow-up in stable and asymptomatic patients.

Publication types

  • Evaluation Study

MeSH terms

  • Abdominal Pain / diagnostic imaging
  • Abdominal Pain / etiology
  • Abdominal Pain / pathology
  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Gallbladder / diagnostic imaging
  • Gallbladder / pathology
  • Gallbladder Diseases / complications
  • Gallbladder Diseases / diagnostic imaging*
  • Gallbladder Diseases / pathology
  • Humans
  • Infant
  • Male
  • Polyps / complications
  • Polyps / diagnostic imaging*
  • Polyps / pathology
  • Retrospective Studies
  • Ultrasonography*