Traumatic neuroma of the bile duct: A case report

Nechi, Salwa; Nakhli, A; Hamida, Wiem Ben; Bani, Amina; Khsiba, A; Mohamed, Asma Ben; Chelbi, Emna; Hamzaoui, Lamine; Touinsi, H.

doi:10.1002/ccr3.4619

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Patients often present with a wide variety of clinical pictures and complaints that may range from completely asymptomatic with abnormal imaging, to painless jaundice with liver enzyme abnormalities, or to recurrent cholangitis. Others may present with recurrent RUQ pain post cholecystectomy [5,6]. This range of presentation may be as early as 6 months to 2 years especially in cases related to biliary ischemia post-transplant surgery [7].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Cholangitis Secondary to a Traumatic Biliary Neuroma

Rayyan

Aburumman

Altaweel

et al. 2022

Case Rep Gastroenterol

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Biliary amputation neuroma is rare and difficult to diagnose preoperatively due to diversity of clinical presentation and a lack of awareness among healthcare providers. We present a case of biliary neuroma arising from a recent laparoscopic cholecystectomy, complicated by bile leak and recurrent cholangitis. An extensive review of the literature was performed, closely examining related etiology, trends in age, clinical symptomology, and time to presentation. The role of surgery compared to an endoscopic approach in diagnosis has been reviewed. Physicians are urged to remain mindful of malignant biliary strictures as they may easily mimic and misguide the diagnosis of a traumatic biliary neuroma.

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Section: Discussionmentioning

confidence: 99%

Recurrent Cholangitis Secondary to a Traumatic Biliary Neuroma

Rayyan

Aburumman

Altaweel

et al. 2022

Case Rep Gastroenterol

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“…We reviewed the literature from 2000 to 2021 and found 18 publications regarding the imaging features of traumatic neuromas in the bile ducts[ 2 , 10 - 26 ]. The clinical findings and imaging features of these 18 reported cases are summarized in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Contrast-enhanced ultrasound of a traumatic neuroma of the extrahepatic bile duct: A case report and review of literature

Yuan¹,

Yan²,

Li³

et al. 2022

WJG

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BACKGROUND Traumatic neuromas result from nerve injury after trauma or surgery but rarely occur in the bile duct. However, it is challenging to diagnose traumatic neuromas correctly preoperatively. Although some previous reports have described the imaging features of traumatic neuroma in the bile duct, no features of traumatic neuromas in the bile duct have been identified by using contrast-enhanced ultrasound (CEUS) imaging before. CASE SUMMARY A 55-year-old male patient presented to our hospital with a 3-mo history of abdominal distension and anorexia and history of cholecystectomy 4 years ago. Grayscale ultrasound demonstrated mild to moderate intrahepatic bile duct dilatation. Meanwhile, a hyperechoic nodule was found in the upper extrahepatic bile duct. The lesion approximately 0.8 cm × 0.6 cm with a regular shape and clear margins. The nodule of the bile duct showed slight hyperenhancement in the arterial phase and isoenhancement in the venous phase on CEUS. Laboratory tests showed that alanine aminotransferase and aspartate aminotransferase were increased significantly, while the tumor marker carbohydrate antigen 19-9 was increased slightly. Then, hilar bile duct resection and end-to-end bile ductal anastomosis were performed. The histological examination revealed traumatic neuroma of the extrahepatic bile duct. The patient had an uneventful recovery after surgery. CONCLUSION The current report will help enhance the current knowledge regarding identifying traumatic neuromas by CEUS imaging and review the related literature.

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Biliary tree traumatic neuroma following laparoscopic cholecystectomy: A case report and literature review

Ali

Gharib

Hassan

et al. 2023

Med Int

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Laparoscopic cholecystectomy has been found to be associated with the development of traumatic neuromas on rare occasions. The present study reports a rare case of post-cholecystectomy biliary tree traumatic neuroma. Herein, a 47-year-old female with a history of laparoscopic cholecystectomy presented with upper abdominal pain and anorexia. Upon an examination, a yellow discoloration of the sclera was observed. Magnetic resonance cholangiopancreatography revealed a dilated proximal bile duct and mild dilatation of the intrahepatic biliary tree due to a stricture. Intraoperatively, a hard bile duct mass was observed with multiple enlarged lymph nodes in the peri-hepatic region. The patient was initially suspected to have bile duct cancer; however, a histopathological analysis of the resected mass revealed a bile duct traumatic neuroma. Biliary traumatic neuromas may be underestimated since they often remain asymptomatic. It is unfortunate that, as traumatic neuromas often lack distinguishing characteristics, no particular radiological findings for traumatic neuromas of the bile duct have been described to date, at least to the best of our knowledge. The rarity of this condition, combined with the absence of a standardized diagnostic modality, renders its diagnosis difficult and can even lead to misdiagnosis as biliary cancer.

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Traumatic neuroma of the bile duct: A case report

Cited by 3 publications

References 14 publications

Recurrent Cholangitis Secondary to a Traumatic Biliary Neuroma

Recurrent Cholangitis Secondary to a Traumatic Biliary Neuroma

Contrast-enhanced ultrasound of a traumatic neuroma of the extrahepatic bile duct: A case report and review of literature

Biliary tree traumatic neuroma following laparoscopic cholecystectomy: A case report and literature review

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