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.
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.
Keywords
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.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Surgery |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 15, 2021 |
| Submission Date | August 13, 2020 |
| Acceptance Date | March 4, 2021 |
| Published in Issue | Year 2021 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.