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[Obstructive ictericia by neuroma of amputation of via biliar. Case report].

作者信息

Fernández-Luque Jorge L, Chávez-Valencia Paolo G, Venturelli-Romero Maria Grazia, Arenas-Gamio José L, Pichardo-Rodriguez Rafael, Grandez-Urbina J Antonio

机构信息

Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.

Servicio de Medicina Interna, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.

出版信息

Rev Gastroenterol Peru. 2019 Oct-Dec;39(4):378-380.

Abstract

Neuromas of the bile duct develop from the sympathetic and parasympathetic nerve fibers that surround the wall of the bile duct. A 44-year-old woman with a history of conventional cholecystectomy six months prior to hospital admission attended emergency due to obstructive jaundice that lasted 15 days. In the imaging studies, the presence of a mass at the level of the bile ducts is considered, considering the diagnosis of a malignant neoplasm. Due to the antecedents, the absence of tumor markers, it was decided to perform a percutaneous biopsy without conclusive results, performing later a surgical intervention with anatomopathological study compatible with neuroma of biliary tract amputation. The amputation neuroma at the level of the bile duct is an infrequent tumor. It can manifest clinically as obstructive jaundice and usually simulates a malignant tumor of the bile ducts. Surgical management is the definitive treatment.

摘要

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