Hochain P, Duranton Y, Manchon N D, Peillon C, Métayer J, Michot F, Testart J, Bercoff E, Bourreille J
Clinique Médicale A, CHU de Rouen.
Gastroenterol Clin Biol. 1988 Jun-Jul;12(6-7):576-8.
We report a case of neuroma of the main bile duct arising twenty years after cholecystectomy. The patient, a 82-year-old woman, was admitted for jaundice. Endoscopic retrograde cholangiography showed a regular stenosis of the main bile duct. Histologic examination demonstrated neuroma. Based on the analysis of this and 15 other previously published cases, the following features of bile duct neuroma were outlined: a) variable interval between cholecystectomy and the onset of jaundice (6 months to 35 years); b) the generally complicated postoperative course, c) the various localizations on the biliary tree (cystic, main bile duct, intrahepatic bile duct) and, d) the circumstances of onset.
我们报告一例胆囊切除术后20年发生的胆总管神经瘤病例。患者为一名82岁女性，因黄疸入院。内镜逆行胆管造影显示胆总管有规则性狭窄。组织学检查证实为神经瘤。基于对该病例及其他15例先前发表病例的分析，总结出胆管神经瘤的以下特征：a）胆囊切除术后至黄疸出现的间隔时间不等（6个月至35年）；b）术后病程通常复杂；c）在胆道系统的不同部位（胆囊管、胆总管、肝内胆管）；d）发病情况。
