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- W2152462061 abstract "A 33-year-old woman was evaluated for a 2-week history of progressive jaundice and weight loss. There was no history of fever or abdominal pain. Past history was significant for cholecystectomy, resection of a congenital choledochal cyst, and Roux-en-Y hepaticojejunostomy 6 years earlier. Her physical examination revealed icterus and a right subcostal scar. Liver function tests revealed the following: total bilirubin, 323 μmol/L (normal, 5–28 μmol/L); direct bilirubin, 254 μmol/L (<8.8 μmol/L); ALT, 132 IU/L (<38 IU/L); AST, 102 IU/L (<37 IU/L). Tumour markers were all within normal limits, except for an elevated CA 19-9 level (>1000 U/ml; normal, <22 U/ml). Magnetic resonance imaging revealed a mass in the remnant choledochal cyst (Fig. 1a and b ). Cholangiocarcinoma was preoperatively considered. A grey solid mass (1.3 cm × 1.0 cm × 1.0 cm) was observed at the end of the choledochal cyst during laparotomy. Intraoperative frozen section confirmed a benign lesion. The patient underwent excision of the remnant choledochal cyst and a new hepaticojejunostomy. Postoperative course was uneventful and she was discharged 7 days after surgery. Histological analysis revealed a traumatic bile duct neuroma, with the presence of long spindle nerve cells (Fig. 1c); immunohistochemistry was positive for S100 (Fig. 1d). Traumatic neuroma of the bile duct is very rare [ [1] Ueno Y. Ikeda K. Maehara M. et al. Traumatic neuroma of the bile duct. Abdominal Imaging. 2008; 33: 560-562 Crossref PubMed Scopus (10) Google Scholar ], and even more so the development of traumatic neuroma at the site of a choledochal cyst." @default.
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- W2152462061 date "2014-05-01" @default.
- W2152462061 modified "2023-09-23" @default.
- W2152462061 title "Traumatic bile duct neuroma developing in a remnant choledochal cyst" @default.
- W2152462061 cites W1995726400 @default.
- W2152462061 doi "https://doi.org/10.1016/j.dld.2013.10.014" @default.
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