A CASE OF TRAUMATIC NEUROMA OF THE COMMON BILIARY DUCT SIMULATING A CHOLANGIOCARCINOMA
Journal: International Journal of Advanced Research (Vol.9, No. 02)Publication Date: 2021-02-16
Authors : Younesse Najioui Achraf Miry El. Mehdi Tiabi Samia Malki Anas Haloui Asmae Aissaoui Ayoub Madani Hajar Abdelouaheb Mohammed Bouziane Imane Kamaoui; Amal Bennani;
Page : 187-192
Keywords : 39 Bile Duct Neuroma Biliary Stricture Biliary Obstruction;
Abstract
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.
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Last modified: 2021-03-24 17:07:45