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Traumatic bile duct neuroma presenting with acute cholangitis: A case report and review of literature
Ann Hepatobiliary Pancreat Surg 2019 Aug;23(3):282-5
Published online August 31, 2019;  https://doi.org/10.14701/ahbps.2019.23.3.282
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Priti Lalchandani1, Abraham Korn1, Jiajie G. Lu3, Samuel W. French3, Linda Hou2, and Kathryn T. Chen1

Departments of 1General Surgery, 2Internal Medicine, and 3Pathology, Harbor-UCLA Medical Center, Torrance, CA, USA
Received December 26, 2018; Revised February 11, 2019; Accepted February 21, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Traumatic neuroma of the biliary tree has been previously reported as isolated case reports. In literature, these typically present following prior liver transplant or cholecystectomy, wherein the bile ducts have been disrupted in some form. Here we report the case of a 41-year old male who initially presented with acute cholangitis ten years after an open cholecystectomy complicated by a bile leak. Endoscopic retrograde cholangiography revealed a stricture within the mid distal common hepatic duct. The patient temporarily resolved his initial episode with stent placement, and he was eventually taken to the operating room for bile duct resection and hepaticojejunostomy given a persistent stricture and concern for underlying malignancy. Final pathology demonstrated a traumatic bile duct neuroma. This unusual entity should be considered in patients with benign appearing strictures presenting years after surgery, and awareness may aid in preoperative counseling as well.
Keywords : Bile duct neuroma; Biliary stricture; Biliary obstruction

 

August 2019, 23 (3)