Case Report
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A CASE OF CYSTIC NEUROMA MIMICKING CHOLEDOCHAL TUMOR AFTER LAPAROSCOPIC CHOLECYSTECTOMY

Year 2021, Volume: 28 Issue: 2, 347 - 349, 15.06.2021
https://doi.org/10.17343/sdutfd.774720

Abstract

Traumatic neuromas are lesions considered as tumor-
like secondary hyperplasia, not true neoplasms.
Traumatic neuromas seen in the biliary system develop
as a late complication of cholecystectomy in the cystic
duct stump, and patients generally present to the clinic
with jaundice due to stricture or obstruction. They may
occur several months to 40 years after cholecystectomy.
Although neurinoma of the biliary tract has been
reported very rarely before, it seems useful to emphasize
it as a diagnosis. This lesion is an unusual cause
of benign strictures of the biliary tract and may cause
difficulties in diagnosis.We aimed to present a 28-yearold
jaundice case in the light of the literature.Biliary
stenosis was detected in the examinations but could
not be distinguished from malignancy. Post-operative
choledochal pathology was reported as a neuroma.

References

  • Referans1 Ueno Y, Ikeda K, Maehara M, Sakaida N, Omura N, Kurokawa H, Sawada S. Traumatic neuroma of the bile duct. Abdom Imaging. 2008 Sep-Oct;33(5):560-2.
  • Referans 2 SİSTİK GÜDÜKTE İNSİDENTAL TRAVMATİK NÖROMA. Neşe Ekinci, Deniz Altundağ, Arzu Avcı, Fulya Çakalağaoğlu, Turan Acar. Güncel Patoloji Dergisi 2017, Cilt 1, Özel Sayı.
  • Referans 3 Schfiroff BGP, Hilton JW (1950) Surgical anatomy of the choledochal nerves. Arch Surg 60:944–952.
  • Referans 4 Hotta T, Yahuhito K, Katsutoshi T, et al. A traumatic neuromas of the bile duct: a case report. Hepatogastroenterology 2004;51:39–42.
  • Referans 5 Pickens A, Vickers S, Brown K, et al. An unusual etiology of biliary hilar obstruction and the potential role of acidic fibroblast growth factor in the development of a biliary neuroma. Am Surgeon 1999;65:47–51.
  • Referans 6 Paquette IM, Suriawinata AA, Ornvold K, Gardner TB, Axelrod DA. Neuroma of the bile duct: a late complication after cholecystectomy. J Gastrointest Surg. 2009 Aug;13(8):1517-9.
  • Referans 7 Hyman J, Wilczynski S, Schwartz R. Extrahepatic bile duct stricture and elevated CA 19-9: malignant or benign? South Med J 2003;96(1):89–92.
  • Referans 8 Mann D, Edwards R, Ho S. Elevated tumor marker CA 19-9: clinical interpretation and influence of obstructive jaundice. Eur J Surg Oncol 2000;26:474–479.
  • Referans 9 Zeff R, Pfeffer R, Adams P, et al. Reoperation for amputation neuroma of the cystic duct. Am J Surg 1976;131:369–371.

LAPAROSKOPİK KOLESİSTEKTOMİ SONRASI KOLEDOK TÜMÖRÜNÜ TAKLİT EDEN SİSTİK NÖROMA OLGUSU

Year 2021, Volume: 28 Issue: 2, 347 - 349, 15.06.2021
https://doi.org/10.17343/sdutfd.774720

Abstract

Travmatik nöromlar, gerçek neoplazmlar olmayıp tümör
benzeri sekonder hiperplazi olarak kabul edilen
lezyonlardır. Bilier sistemde görülen travmatik nöromalar
sistik duktus güdüğünde kolesistektominin geç
komplikasyonu olarak gelişir ve hastalar genelde
striktür yada obstrüksiyona bağlı sarılık nedeni ile kliniğe
başvurur. Kolesistektomiden birkaç ay ile 40 yıl
sonra ortaya çıkabilirler. Bilier traktın nörinomu daha
önce çok nadir olarak bildirilmiş olsa da, tanı olarak
vurgulanması faydalı görünmektedir. Bu lezyon, safra
yollarının benign darlıklarının olağan dışı bir nedeni
olup, tanıda zorluklara neden olabilir. Biz de 28 yaşında
sarılıkla başvuran, tetkiklerinde bilier darlık saptanan
ancak malignite ayrımı yapılamayan, operasyon
sonrası koledok patolojisi nörinom olarak raporlanan
olguyu literatür eşliğinde sunmayı amaçladık.

References

  • Referans1 Ueno Y, Ikeda K, Maehara M, Sakaida N, Omura N, Kurokawa H, Sawada S. Traumatic neuroma of the bile duct. Abdom Imaging. 2008 Sep-Oct;33(5):560-2.
  • Referans 2 SİSTİK GÜDÜKTE İNSİDENTAL TRAVMATİK NÖROMA. Neşe Ekinci, Deniz Altundağ, Arzu Avcı, Fulya Çakalağaoğlu, Turan Acar. Güncel Patoloji Dergisi 2017, Cilt 1, Özel Sayı.
  • Referans 3 Schfiroff BGP, Hilton JW (1950) Surgical anatomy of the choledochal nerves. Arch Surg 60:944–952.
  • Referans 4 Hotta T, Yahuhito K, Katsutoshi T, et al. A traumatic neuromas of the bile duct: a case report. Hepatogastroenterology 2004;51:39–42.
  • Referans 5 Pickens A, Vickers S, Brown K, et al. An unusual etiology of biliary hilar obstruction and the potential role of acidic fibroblast growth factor in the development of a biliary neuroma. Am Surgeon 1999;65:47–51.
  • Referans 6 Paquette IM, Suriawinata AA, Ornvold K, Gardner TB, Axelrod DA. Neuroma of the bile duct: a late complication after cholecystectomy. J Gastrointest Surg. 2009 Aug;13(8):1517-9.
  • Referans 7 Hyman J, Wilczynski S, Schwartz R. Extrahepatic bile duct stricture and elevated CA 19-9: malignant or benign? South Med J 2003;96(1):89–92.
  • Referans 8 Mann D, Edwards R, Ho S. Elevated tumor marker CA 19-9: clinical interpretation and influence of obstructive jaundice. Eur J Surg Oncol 2000;26:474–479.
  • Referans 9 Zeff R, Pfeffer R, Adams P, et al. Reoperation for amputation neuroma of the cystic duct. Am J Surg 1976;131:369–371.
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Case Reports
Authors

Bilal Turan 0000-0003-1665-3607

Nesime Eryılmaz This is me 0000-0002-7731-0336

İsa Karaca 0000-0003-1813-9687

İsmail Zihni 0000-0002-2133-2106

İsa Sözen This is me 0000-0001-7724-9750

Girayhan Çelik 0000-0002-1198-1233

Mehmet Sabuncuoglu 0000-0002-5549-4023

Recep Çetin 0000-0002-3247-0117

Publication Date June 15, 2021
Submission Date August 13, 2020
Acceptance Date March 4, 2021
Published in Issue Year 2021 Volume: 28 Issue: 2

Cite

Vancouver Turan B, Eryılmaz N, Karaca İ, Zihni İ, Sözen İ, Çelik G, Sabuncuoglu M, Çetin R. LAPAROSKOPİK KOLESİSTEKTOMİ SONRASI KOLEDOK TÜMÖRÜNÜ TAKLİT EDEN SİSTİK NÖROMA OLGUSU. Med J SDU. 2021;28(2):347-9.

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