Katsinelos P, Dimiropoulos S, Galanis I, Tsolkas P, Paroutoglu G, Arvaniti M, Katsiba D, Baltaglannis S, Pilpilidis I, Papagiannis A, Vaslliadis I
Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece.
Surg Endosc. 2002 Oct;16(10):1494. doi: 10.1007/s00464-002-4220-7. Epub 2002 Jul 8.
A traumatic neuroma of the biliary tract is rarely associated with biliary obstruction. However, when it arises in the common bile duct (CBD) and is associated with obstructive jaundice, it is difficult to distinguish it from bile duct cancer. We describe a patient who developed obstructive jaundice and itching, due to CBD stricture, 8 years after innocent blunt abdominal trauma. The stricture was resected and hepatico-jejunal anastomosis was performed. Histological examination revealed a traumatic neuroma and a fibrous scar around the common bile duct. Symptoms disappeared following surgical removal of the lesion. Blunt abdominal injury may cause the late onset of a fibrous scar and traumatic neuroma in the common bile duct. To our knowledge, a traumatic neuroma of the biliary tract after blunt abdominal trauma has not been reported previously. We review the clinical picture of this relatively rare problem, along with its diagnosis, pathogenesis and treatment.
胆道创伤性神经瘤很少与胆道梗阻相关。然而，当它发生在胆总管（CBD）并伴有梗阻性黄疸时，很难将其与胆管癌区分开来。我们描述了一名患者，在腹部受到无明显损伤的钝性创伤8年后，因胆总管狭窄出现梗阻性黄疸和瘙痒。切除狭窄段并进行肝空肠吻合术。组织学检查显示胆总管周围有创伤性神经瘤和纤维瘢痕。手术切除病变后症状消失。腹部钝性损伤可能导致胆总管迟发性纤维瘢痕和创伤性神经瘤。据我们所知，此前尚未报道过腹部钝性创伤后发生的胆道创伤性神经瘤。我们回顾了这个相对罕见问题的临床表现及其诊断、发病机制和治疗方法。
