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[Obstructive jaundice after cholecystectomy].

F Moreno Antón1, M Romero Sánchez, J J Puche Paniagua

  • 1Servicio de Oncología Médica, Hospital Clínico San Carlos, Madrid.

Anales De Medicina Interna (Madrid, Spain : 1984)
|March 27, 2004
PubMed
Summary
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A rare biliary neuroma caused obstructive jaundice three years after gallbladder removal. Surgical intervention successfully treated the non-malignant tumor, restoring bile flow.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pathology

Background:

  • Laparoscopic cholecystectomy is a common procedure for gallbladder removal.
  • Obstructive jaundice can arise from various biliary tract pathologies.
  • Post-cholecystectomy complications require thorough investigation.

Observation:

  • A 72-year-old woman presented with obstructive jaundice three years post-laparoscopic cholecystectomy.
  • Magnetic Resonance Imaging (MRI) identified an hilar mass causing biliary tree dilatation.

Findings:

  • The patient underwent hepatic duct resection and hepaticojejunostomy.
  • Histological examination confirmed an intramural biliary neuroma.
  • No evidence of malignancy was found in the resected specimen.

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Implications:

  • This case highlights a rare cause of post-cholecystectomy obstructive jaundice.
  • Intramural biliary neuroma is a benign tumor that can mimic malignant lesions.
  • Successful surgical management is crucial for favorable patient outcomes.