Massive hemobilia and acalculous cholecystitis due to benign gallbladder polyp.
A 37-year-old male with metachromatic leukodystrophy, a congenital cerebroside storage disease strongly associated with benign gallbladder polyps, presented with hemobilia and acalculous cholecystitis due to a long, slender, benign gallbladder polyp. This case report extends the clinical spectrum of gallbladder polyps and demonstrates a novel cause of hemobilia. The unusually long, slender polyp shape may have promoted hemorrhage due to the potential for torsion around a slender stalk. The mechanism of cholecystitis may have been cystic duct obstruction from blood clots or possibly from prolapse by the long, slender polyp into the cystic duct.
Cappell
M S
MS
Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019.
Marks
M
M
Kirschenbaum
H
H
D000328:Adult; D002764:Cholecystitis / Q000209:etiology* / Q000473:pathology; D005704:Gallbladder / Q000473:pathology; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000473:pathology; D006431:Hemobilia / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007966:Leukodystrophy, Metachromatic / Q000150:complications; D008297:Male; D011127:Polyps / Q000150:complications* / Q000473:pathology; D012559:Schizophrenia / Q000150:complications