Sleiman YA, Hassoun ZA, Nasser HA, Abs L, Allouch M. A late unusual complication after an open cholecystectomy: Amputation neuroma of the CBD causing obstructive jaundice.
Int J Surg Case Rep 2017;
39:123-125. [PMID:
28837915 PMCID:
PMC5567975 DOI:
10.1016/j.ijscr.2017.07.040]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 07/19/2017] [Accepted: 07/19/2017] [Indexed: 01/08/2023] Open
Abstract
INTRODUCTION
Cholecystectomy is one of the most frequently done procedures in general surgery. There are few reports of amputation neuromas following this procedure. This presentation describes a case of obstructive jaundice due to amputation neuroma in a patient with a history of cholecystectomy.
CASE PRESENTATION
We report about a 53 y o lady who presented with obstructive jaundice, 8 years following open cholecystectomy. Paraclinical investigations were in favor of cholangicarcinoma, however the final pathology revealed an amputation neuroma of the CBD.
DISCUSSION
Amputation neuromas are rarely seen in the era of laparoscopic cholecystectomy. They are benign reparative lesions of the CBD following surgery or manipulation of the extra hepatic biliary tree. It is very difficult to diagnose them pre-operatively. Surgical resection is the first choice of treatment.
CONCLUSION
Traumatic neuromas should always be among the differential diagnosis, when assessing a CBD mass in patients with a previous history of open cholecystectomy or surgery to the gastrointestinal tract.
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