{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:16:02Z","timestamp":1790651762868,"version":"4.1.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,5]]},"abstract":"<jats:p>A 5-year-old boy with metachromatic leukodystrophy, debilitated by spastic quadriparesis presented to us with massive ascites and respiratory distress. A subtotal cholecystectomy was performed on him from another centre for a gall bladder mass a year before he came to us. Imaging revealed a polypoidal frond-like mass arising from the gall bladder fossa which was supplied by a hypertrophied branch of the right hepatic artery. A decision was made to offer surgical resection preceded by embolisation of the feeding vessel. At surgery, a polypoidal frond-like mass in communication with the peritoneal cavity was seen arising from the remnant gall bladder bed with over 4 L of mucoid ascites. The mass along with the remnant gall bladder was removed. Biopsy revealed villous papilloma of the gall bladder. The child is well and asymptomatic at 5-month follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2017-224162","type":"journal-article","created":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T09:42:16Z","timestamp":1541410936000},"page":"bcr-2017-224162","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["An unusual presentation of gall bladder papillomatosis in association with metachromatic leukodystrophy"],"prefix":"10.1136","volume":"2018","author":[{"given":"Jujju Jacob","family":"Kurian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun John K","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,11,1]]},"reference":[{"key":"2025042706404401000_2018.oct31_2.bcr-2017-224162.1","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1016\/S0022-3468(03)00583-9","article-title":"Gallbladder polyps in children\u2013classification and management","volume":"38","author":"Stringer","year":"2003","journal-title":"J Pediatr Surg"},{"key":"2025042706404401000_2018.oct31_2.bcr-2017-224162.2","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1007\/s11605-017-3476-0","article-title":"GAllbladder polypoid-lesions: what are they and how should they be treated? 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