Traumatic neuroma of the bile duct causing cholangitis and atrophy of the right hepatic lobe.
Intraluminal traumatic neuromas are an unusual cause of bile duct obstruction. These benign collections of disorganized nerve fibers arise from a bile duct injury during cholecystectomy. Symptoms associated with obstruction or cholangitis may develop decades after the operation. Our patient's neuroma imitated a malignant neoplasm, but the patient has been returned to good health by resection of the right hepatic duct and the atrophic right hepatic lobe.
Shumate
C R
CR
Department of General Surgery, Anderson Cancer Center, Houston, Tex. 77030.
Curley
S A
SA
Cleary
K R
KR
Ames
F C
FC
D000368:Aged; D001284:Atrophy; D001650:Bile Duct Neoplasms / Q000150:complications / Q000209:etiology* / Q000473:pathology; D002761:Cholangitis / Q000209:etiology*; D002763:Cholecystectomy / Q000009:adverse effects*; D006801:Humans; D008099:Liver / Q000473:pathology*; D008297:Male; D009463:Neuroma / Q000150:complications / Q000209:etiology* / Q000473:pathology