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.
Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019.
M S
MS
Cappell
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M
Marks
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H
Kirschenbaum
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