Traumatic neuroma as a cause of obstructive jaundice.
A 70-year-old man with previous cholecystectomy developed progressive obstructive jaundice, 3 months before hospitalization. Intraoperatively, a 2 x 2 x 1.5-cm mass in the distal part of the right hepatic duct was excised to release complete obstruction. It was verified as traumatic (amputation) neuroma. Despite rarity, traumatic neuroma of the bile duct should be considered in patients who have antecedent surgical procedure of the biliary tract with subsequent occurrence of extrahepatic biliary obstruction.
Chantranuwat
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C
Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Shuangshoti
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S
D000368:Aged; D001650:Bile Duct Neoplasms / Q000209:etiology*; D002763:Cholecystectomy / Q000009:adverse effects; D001651:Cholestasis, Extrahepatic / Q000209:etiology*; D006500:Hepatic Duct, Common / Q000294:innervation; D006801:Humans; D008297:Male; D017169:Neoplasms, Post-Traumatic / Q000209:etiology*; D009463:Neuroma / Q000209:etiology*