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20 April 2004

Traumatic neuroma of cystic duct stump associated with ductus choledochus dilatation and stones after open cholecystectomy: a case report

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology

Serife Aydin, Mahmut Bulbul, Gulsen Aydin

Case Rep Clin Pract Rev 2004; 5(null):63-69 :: ID: 12271

Abstract

Background: We report a case of traumatic neuroma of the cystic duct stump associated with intrahepatic bile duct and ductus choledochus dilatation with stones after 12 years followed open holecystectomy.Case Report: Intrahepatic bile duct dilatation, epigastric pain and ductus choledochus dilatation associated with stones were detected in a 58 years old male who had open cholecystectomy for a gallstone 12 years ago. Percutaneous transhepatic cholangiography showed complete dilatation of the ductus choledochus associated with two stones:one was located in the middle segment and the other in distal segment. CT revealed intrahepatic bile duct dilatation andductus choledochus dilatation and hypoecoic area in the head of pancreas that imics a tumor. At the time of surgery, there was a tumor-like mass in the cystic ductus stump which was extended from stump to ductus choledochus wall. Consequently, the resection of dilated part of ductus choledochus and mass of the cystic duct stump was done. Resected tumor was measured in 10x10 mm size and pathological diagnosis was traumatic neuroma.Conclusions: Having considering the previous reports, this case is a report of rarely seen traumatic neuroma which was extended to ductus choledochus associated with intrahepatic bile duct and ductus choledochus dilatation with stones.

Keywords: Traumatic neuroma, cystic duct stump, post cholecystectomy

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923