16Feb 2021

A CASE OF TRAUMATIC NEUROMA OF THE COMMON BILIARY DUCT SIMULATING A CHOLANGIOCARCINOMA

  • Pathology Department, Mohammed VI university Hospital, Oujda.
  • General Surgery Department, Mohammed VI University Hospital, Oujda.
  • Radiology Department, Mohammed VI University Hospital, Oujda.
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We present a case of traumatic neuroma of the common bile duct in a 53-year-old woman who presented with jaundice,5months after cholecystectomy. Physical examination revealed jaundice, epigastric pain and scratching lesions. Gamma glutamyl transferase (GGT) at 109 U/L, Alkaline phosphatase at 175U/L. CA19-9 was at 500U/mlMagnetic resonance cholangiopancreatography revealed a T1 and T2hyperintense lesion of peri-hilar fat. An increase in intensity was noted after useof gadolinium.Exploratory laparotomy was performed with the presumptive diagnosis of cholangiocarcinoma. Pathologic analysis of the surgical specimen revealed Haphazard mature nerves, consistent with a bile duct neuroma. Follow-up of the patient showed no post-operative complications or signs of recurrence.


[Younesse Najioui, Achraf Miry, El. Mehdi Tiabi, Samia Malki, Anas Haloui, Asmae Aissaoui, Ayoub Madani, Hajar Abdelouaheb, Mohammed Bouziane, Imane Kamaoui and Amal Bennani (2021); A CASE OF TRAUMATIC NEUROMA OF THE COMMON BILIARY DUCT SIMULATING A CHOLANGIOCARCINOMA Int. J. of Adv. Res. 9 (Feb). 187-192] (ISSN 2320-5407). www.journalijar.com


younesse najioui

Morocco

DOI:


Article DOI: 10.21474/IJAR01/12432      
DOI URL: http://dx.doi.org/10.21474/IJAR01/12432