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Hemobilia due to A Tubulopapillary Adenoma of the Gallbladder

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dc.contributor.author Tardu, Ali
dc.contributor.author Yagci, Mehmet Ali
dc.contributor.author Karagul, Servet
dc.contributor.author Isik, Burak
dc.contributor.author Yilmaz, Sezai
dc.date.accessioned 2019-09-11T12:57:03Z
dc.date.available 2019-09-11T12:57:03Z
dc.date.issued 2016
dc.identifier.citation Tardu, A . Yagci, MA . Karagul, S. Isik, B. Yilmaz, S . (2016). Hemobilia due to A Tubulopapillary Adenoma of the Gallbladder.Cilt:17. Sayı:2. 70-72 ss. tr_TR
dc.identifier.uri http://hdl.handle.net/11616/13998
dc.description.abstract Adenoma 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. tr_TR
dc.language.iso eng tr_TR
dc.publisher Aves, buyukdere cad 105-9, mecıdıyekoy, sıslı, ıstanbul 34394, turkey tr_TR
dc.relation.isversionof 10.5152/imj.2016.79037 tr_TR
dc.rights info:eu-repo/semantics/restrictedAccess tr_TR
dc.subject Adenoma tr_TR
dc.subject hemobilia tr_TR
dc.subject gallbladder tr_TR
dc.title Hemobilia due to A Tubulopapillary Adenoma of the Gallbladder tr_TR
dc.type article tr_TR
dc.relation.journal Istanbul medıcal journal tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.identifier.volume 17 tr_TR
dc.identifier.issue 2 tr_TR
dc.identifier.startpage 70 tr_TR
dc.identifier.endpage 72 tr_TR


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