Open AccessA CASE OF TRAUMATIC NEUROMA OF THE COMMON BILIARY DUCT SIMULATING A CHOLANGIOCARCINOMA
Author(s) -
Younesse Najioui,
Achraf Miry,
El. Mehdi Tiabi,
Samia Malki,
Anas Haloui,
Asmae Aissaoui,
Madani Ayoub,
Hajar Abdelouaheb,
Mohammed Bouziane,
Imane Kamaoui,
Amal Bennani
Publication year - 2021
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/12432
Subject(s) - exploratory laparotomy , medicine , magnetic resonance cholangiopancreatography , neuroma , jaundice , bile duct , cholecystectomy , laparotomy , endoscopic retrograde cholangiopancreatography , common bile duct , lesion , radiology , surgery , pancreatitis
We present a case of traumatic neuroma of the common bile duct in a 53-year-old woman who presented with jaundice,5months after cholecystectomy. Physical examination revealed jaundice, epigastric pain and scratching lesions. Gamma glutamyl transferase (GGT) at 109 U/L, Alkaline phosphatase at 175U/L. CA19-9 was at 500U/mlMagnetic resonance cholangiopancreatography revealed a T1 and T2hyperintense lesion of peri-hilar fat. An increase in intensity was noted after useof gadolinium.Exploratory laparotomy was performed with the presumptive diagnosis of cholangiocarcinoma. Pathologic analysis of the surgical specimen revealed Haphazard mature nerves, consistent with a bile duct neuroma. Follow-up of the patient showed no post-operative complications or signs of recurrence.