title: Multidetector CT diagnosis of massive hemobilia due to gallbladder polyposis in a child with metachromatic leukodystrophy.
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.
authors.affiliation: Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Riley Hospital for Children, 705 Riley Hospital Drive, Room 1053, Indianapolis, IN, 46202, USA. mrwanner@iupui.edu.
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Wanner
authors.affiliation: Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Riley Hospital for Children, 705 Riley Hospital Drive, Room 1053, Indianapolis, IN, 46202, USA.
authors.forename: Boaz
authors.initials: B
authors.lastname: Karmazyn
authors.affiliation: Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA.
authors.forename: Rong
authors.initials: R
authors.lastname: Fan
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006431:Hemobilia / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007966:Leukodystrophy, Metachromatic / Q000150:complications / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D061330:Multidetector Computed Tomography; D011127:Polyps / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery
keywords: Child; Computed tomography; Gallbladder; Hemobilia; Metachromatic leukodystrophy; Polyposis