Bacterobilia in Biliary Surgery: Risk Factors

Abstract

Introduction: One of the etiologies of obstructive jaundice, is biliary stricture. Biliary stricture can present as either due to a benign or malignant cause. Traumatic neuroma rarely presents as a cause of obstructive jaundice, and is seen in literature usually following cholecystectomy or liver transplant. Methods: We present a case of a 30-year old woman, who presented with acute cholangitis 7 years after an elective laparoscopic cholecystectomy. Results: As this patient presented with cholangitis post surgery, she was stented and eventually underwent biliary reconstruction. The histopathology of the resected duct revealed a traumatic neuroma. In this case report, we review literature of traumatic neuroma presentation and its management. Conclusion: Traumatic neuroma of the bile duct can present with symptoms of biliary stricture. Although it is rare, it should be considered as a cause of benign biliary stricture.