A late unusual complication after an open cholecystectomy: Amputation neuroma of the CBD causing obstructive jaundice
| Autor: | Mustafa Allouch, Leila Abs, Youssef A. Sleiman, Haydar A. Nasser, Ziad A. Hassoun |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Open cholecystectomy Case Report 030230 surgery digestive system Amputation neuroma about a case report 03 medical and health sciences 0302 clinical medicine medicine otorhinolaryngologic diseases Cholecystectomy business.industry General surgery digestive system diseases Surgery surgical procedures operative Amputation CBD 030211 gastroenterology & hepatology Obstructive jaundice Amputation Neuroma sense organs Presentation (obstetrics) Differential diagnosis Complication business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Amputation Neuromas are benign lesions of the CBD that occur months to years following surgery. • Almost all patients with amputation have had a history of open cholecystectomy. • Surgery is the best treatment option for amputation neuroma of the CBD. 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. |
| Databáze: | OpenAIRE |
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