A traumatic neuroma associated with obstructive jaundice after laparoscopic cholecystectomy.
A traumatic neuroma of the biliary tract is rarely associated with biliary obstruction. The authors describe a case of obstructive jaundice that occurred after laparoscopic cholecystectomy. Obstructive jaundice developed in a 39-year-old woman 8 months after laparoscopic cholecystectomy. The stricture was resected and a Rouxen-Y hepaticojejunostomy was performed. Histological examination revealed a traumatic neuroma and a fibrous scar around the biliary duct. To our knowledge, a traumatic neuroma of the biliary tract after laparoscopic cholecystectomy has not been reported previously. Thermal injury may cause the late onset of a fibrous scar and traumatic neuroma. Therefore, traumatic neuroma should be included in the differential diagnosis when late-onset biliary tract obstruction develops after laparoscopic cholecystectomy.
Nagafuchi
Y
Y
Department of Surgery I, University of Occupational and Environmental Health, Kitakyushu, Japan.
Katuki
M
M
Hisatome
K
K
Higure
A
A
Asami
S
S
Itoh
H
H
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D001651:Cholestasis, Extrahepatic / Q000209:etiology*; D003135:Common Bile Duct / Q000293:injuries / Q000294:innervation; D003137:Common Bile Duct Diseases / Q000209:etiology; D003138:Common Bile Duct Neoplasms / Q000209:etiology*; D005260:Female; D006801:Humans; D009463:Neuroma / Q000209:etiology*; D013997:Time Factors