A late unusual complication after an open cholecystectomy: Amputation neuroma of the CBD causing obstructive jaundice. (2017)

• Record Type: Journal Article
• Authors: Sleiman, Youssef A.; Hassoun, Ziad A.; Nasser, Haydar A.; Abs, Leila; Allouch, Mustafa
• Is Part Of: International journal of surgery case reports. Volume 39(2017)
• Page Start: 123
• Page End: 125
• Publication Date: 2017
• Subjects: CBD -- Amputation neuroma about a case report -- Cholecystectomy; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.07.040
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Amputation Neuromas are benign lesions of the CBD that occur months to years following surgery. Almost all patients with amputation have had a history of open cholecystectomy. Surgery is the best treatment option for amputation neuroma of the CBD. Abstract: Introduction: Cholecystectomy is one of the most frequently done procedures in general surgery. There are few reports of amputation neuromas following this procedure. This presentation describes a case of obstructive jaundice due to amputation neuroma in a patient with a history of cholecystectomy. Case presentation: We report about a 53 y o lady who presented with obstructive jaundice, 8 years following open cholecystectomy. Paraclinical investigations were in favor of cholangicarcinoma, however the final pathology revealed an amputation neuroma of the CBD. Discussion: Amputation neuromas are rarely seen in the era of laparoscopic cholecystectomy. They are benign reparative lesions of the CBD following surgery or manipulation of the extra hepatic biliary tree. It is very difficult to diagnose them pre-operatively. Surgical resection is the first choice of treatment. Conclusion: Traumatic neuromas should always be among the differential diagnosis, when assessing a CBD mass in patients with a previous history of open cholecystectomy or surgery to the gastrointestinal tract.