Hemobilia due to A Tubulopapillary Adenoma of the Gallbladder

dc.authoridIsik, Burak/0000-0002-2395-3985
dc.authoridKaragul, Servet/0000-0003-1964-2516
dc.authorwosidIsik, Burak/A-6657-2018
dc.authorwosidKaragul, Servet/K-3020-2015
dc.contributor.authorTardu, Ali
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorKaragul, Servet
dc.contributor.authorIsik, Burak
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:58:55Z
dc.date.available2024-08-04T20:58:55Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAdenoma of the gallbladder is an uncommon benign tumor among pediatric patients. Rarely, it can cause of hemobilia. A 7-year-old boy was referred to our clinic due to active bleeding of the ampulla vateri, which was detected by upper gastrointestinal endoscopy. Initial hemodynamic parameters were stable. Conjunctival icterus and melena were observed on performing the physical examination. Computed tomography revealed dilatation of the common bile duct. The bleeding point was not detected on scintigraphy and angiography. During diagnosis, the hemoglobin level decreased and hemodynamic instability occurred; exploratory laparotomy was planned due to suspicion of hemobilia. A mass of gallbladder was detected, and cholecystectomy was performed. An intraoperative evaluation of the gallbladder revealed two irregular polypoid masses with coagulum; they were approximately 1 and 2 cm in diameter and on the fundus. The patient was discharged on the postoperative 13th day uneventfully. A tubulopapillary adenoma of the gallbladder was diagnosed after the patients underwent a histopathological examination. Hemobilia is a term used to describe blood in the biliary tract, and it is a rare cause of gastrointestinal bleeding. The clinical presentation of gallbladder polyps with hemodynamic instability due to tumoral hemorrhage is a challenging course for physicians. Further, preoperative determination of the source of bleeding is not always possible. Hemobilia due to gallbladder polyps must be kept in mind when gastrointestinal bleeding is present among pediatric patients.en_US
dc.identifier.doi10.5152/imj.2016.79037
dc.identifier.endpage72en_US
dc.identifier.issn1304-8503
dc.identifier.issn2148-094X
dc.identifier.issue2en_US
dc.identifier.startpage70en_US
dc.identifier.urihttps://doi.org/10.5152/imj.2016.79037
dc.identifier.urihttps://hdl.handle.net/11616/103295
dc.identifier.volume17en_US
dc.identifier.wosWOS:000382877000007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherAvesen_US
dc.relation.ispartofIstanbul Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdenomaen_US
dc.subjecthemobiliaen_US
dc.subjectgallbladderen_US
dc.titleHemobilia due to A Tubulopapillary Adenoma of the Gallbladderen_US
dc.typeArticleen_US

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