Recurrent Cholangitis Secondary to a Traumatic Biliary Neuroma

Biliary amputation neuroma is rare and difficult to diagnose preoperatively due to diversity of clinical presentation and a lack of awareness among healthcare providers. We present a case of biliary neuroma arising from a recent laparoscopic cholecystectomy, complicated by bile leak and recurrent ch...

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Bibliographic Details
Published in:Case reports in gastroenterology 2022-11, Vol.16 (3), p.595-600
Main Authors: Rayyan, Nadin Y., Aburumman, Razan N., Altaweel, Luma, Albustami, Nadwa, Al-Abbadi, Mousa A., Rayyan, Yaser M.
Format: Article
Language:English
Subjects:
Abdomen
Bile ducts
biliary neuroma
Biopsy
Case Report
Case reports
Cellular biology
Cholangitis
Cholecystectomy
Emergency medical care
Endoscopy
Ischemia
Laboratories
Laparoscopy
Liver
obstructive jaundice
Pain
Pancreatitis
Patients
Phosphatase
Stents
Surgery
Ultrasonic imaging
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Summary:Biliary amputation neuroma is rare and difficult to diagnose preoperatively due to diversity of clinical presentation and a lack of awareness among healthcare providers. We present a case of biliary neuroma arising from a recent laparoscopic cholecystectomy, complicated by bile leak and recurrent cholangitis. An extensive review of the literature was performed, closely examining related etiology, trends in age, clinical symptomology, and time to presentation. The role of surgery compared to an endoscopic approach in diagnosis has been reviewed. Physicians are urged to remain mindful of malignant biliary strictures as they may easily mimic and misguide the diagnosis of a traumatic biliary neuroma.
ISSN:1662-0631
1662-0631
DOI:10.1159/000525270