Neuroma of the bile duct: a late complication after cholecystectomy

Ian M Paquette; Arief A Suriawinata; Kim Ornvold; Timothy B Gardner; David A Axelrod

doi:10.1007/s11605-009-0814-x

Neuroma of the bile duct: a late complication after cholecystectomy

J Gastrointest Surg. 2009 Aug;13(8):1517-9. doi: 10.1007/s11605-009-0814-x. Epub 2009 Jan 29.

Authors

Ian M Paquette¹, Arief A Suriawinata, Kim Ornvold, Timothy B Gardner, David A Axelrod

Affiliation

¹ Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA. ian.paquette@hitchcock.org

PMID: 19184244
DOI: 10.1007/s11605-009-0814-x

Abstract

Introduction: Extrahepatic biliary obstruction with a mass in the common bile duct and elevated CA 19-9 level is often due to cholangiocarcinoma.

Case report: We present a case of a 71 year-old woman who presented with an extrahepatic biliary obstruction and a mass in the common bile duct 45 years after cholecystectomy. Pathologic analysis revealed a bile duct neuroma. We present the preoperative imaging, operative management, pathologic diagnosis, and literature review of this rare condition.

Publication types

Case Reports

MeSH terms

Aged
Bile Duct Neoplasms / diagnosis
Bile Duct Neoplasms / surgery
Bile Ducts, Intrahepatic*
Biomarkers, Tumor / blood
CA-19-9 Antigen / blood
Cholangiocarcinoma / diagnosis
Cholangiocarcinoma / surgery*
Cholangiopancreatography, Endoscopic Retrograde
Cholangiopancreatography, Magnetic Resonance
Cholecystectomy / adverse effects*
Common Bile Duct Neoplasms / blood
Common Bile Duct Neoplasms / diagnosis
Common Bile Duct Neoplasms / etiology*
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Neuroma / blood
Neuroma / diagnosis
Neuroma / etiology*

Substances

Biomarkers, Tumor
CA-19-9 Antigen