An unusual presentation in a patient with metachromatic leukodystrophy.
A 2-year-old child was admitted with bilateral bronchopneumonia. During convalescence he sustained sudden respiratory arrest for which he required ventilatory support. He had undergone cholecystectomy 1 month prior to the above episode. The pathological examination of the gall bladder mass had revealed the features of metachromatic leukodystrophy. Gastro-oesophageal reflux, which is associated with this neurological disorder, was suspected to be the cause of this sudden respiratory arrest and its presence was confirmed by barium swallow examination.
Malde
A D
AD
Department of Anaesthesia, L.T.M. Medical College, Sion, Bombay, India.
Naik
L D
LD
Pantvaidya
S H
SH
Oak
S N
SN
D002675:Child, Preschool; D005705:Gallbladder Diseases / Q000209:etiology / Q000473:pathology; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007966:Leukodystrophy, Metachromatic / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D012131:Respiratory Insufficiency / Q000209:etiology*; D014057:Tomography, X-Ray Computed