Neuroma of the bile duct: a late complication after cholecystectomy
Ian M Paquette1, Arief A Suriawinata, Kim Ornvold
1Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA. ian.paquette@hitchcock.org
Introduction:
Extrahepatic biliary obstruction with a mass in the common bile duct and elevated CA 19-9 level is often due to cholangiocarcinoma.
Case Report:
We present a case of a 71 year-old woman who presented with an extrahepatic biliary obstruction and a mass in the common bile duct 45 years after cholecystectomy. Pathologic analysis revealed a bile duct neuroma. We present the preoperative imaging, operative management, pathologic diagnosis, and literature review of this rare condition.
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