Amputation neuroma of extrahepatic bile duct as a rare cause of postcholecystectomy pain
European Surgery - Acta Chirurgica Austriaca, cilt.37, sa.3, ss.166-168, 2005 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 3
- Basım Tarihi: 2005
- Doi Numarası: 10.1007/s10353-005-0158-z
- Dergi Adı: European Surgery - Acta Chirurgica Austriaca
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.166-168
- Anahtar Kelimeler: Amputation neuroma, Extra hepatic bile duct, Postcholecystectomy pain
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Neuroma of the extrahepatic biliary tract is an uncommon benign tumour that most frequently arises from the cystic duct stump after cholecystectomy and is a rare cause of postcholecystectomy symptoms. Methods: We present two cases of extra hepatic bile duct neuroma 6 and 25 years after cholecystectomy and discuss diagnosis and management of this rare clinical condition. Results: A 63-year-old and a 67-year-old women were admitted to the hospital with history of gradual onset of right upper quadrant pain radiating to right scapula and epigastric area, 6 and 25 years after cholecystectomy, respectively. Routine laboratory and diagnostic studies were all normal in one patient, while a 1 by 1 cm mass on choledocal wall was diagnosed in the other. Diagnostic laparotomy was performed and a firm nodular mass, localized on cystic duct stump, was detected in both patients. Histopathologic examination confirmed amputation neuroma of the cystic duct remnant. Conclusions: Amputation neuroma is an unusual cause of benign stricture of the biliary tract that may produce a diagnostic challenge. © Springer-Verlag 2005.