Neuroma of the bile duct: a late complication after cholecystectomy.
BACKGROUND
Extrahepatic biliary obstruction with a mass in the common bile duct and elevated CA 19-9 level is often due to cholangiocarcinoma.


METHODS
We present a case of a 71 year-old woman who presented with an extrahepatic biliary obstruction and a mass in the common bile duct 45 years after cholecystectomy. Pathologic analysis revealed a bile duct neuroma. We present the preoperative imaging, operative management, pathologic diagnosis, and literature review of this rare condition.
Paquette
Ian M
IM
Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA. ian.paquette@hitchcock.org
Suriawinata
Arief A
AA
Ornvold
Kim
K
Gardner
Timothy B
TB
Axelrod
David A
DA
D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery; D001653:Bile Ducts, Intrahepatic; D014408:Biomarkers, Tumor / Q000097:blood; D018395:CA-19-9 Antigen / Q000097:blood; D018281:Cholangiocarcinoma / Q000175:diagnosis / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D002763:Cholecystectomy / Q000009:adverse effects*; D003138:Common Bile Duct Neoplasms / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009463:Neuroma / Q000097:blood / Q000175:diagnosis / Q000209:etiology*
D014408:Biomarkers, Tumor; D018395:CA-19-9 Antigen