[症例報告]Traumatic neuroma associated with obstructive jaundice following the repair of bile duct injury during laparoscopic cholecystectomy
Year: 2002
Type: article
Study design: Case Report
Abstract: The most important factor influencing the long-term outcome after an initial repair of iatrogenic bile duct injury is late stricture at the repair site. We have encountered three cases of traumatic neuroma or a marked proliferation of nerve tissues (So-called traumatic neuroma) which were associated with obstructive jaundice following the repair of bile duct injury which occurred during a laparoscopic cholecystectomy. One patient underwent a simple suture repair for a laceration of bile duct while two patients underwent an end-to-end anastomosis for the transection of the bile duct at local hospitals. They were referred to our hospital because of obstructive jaundice due to a late stricture of the bile duct. A resection of the extrahepatic bile duct and hepaticoiemnostomy was performed. A histological examination of the resected specimens revealed traumatic neuroma with fibrous connective tissue. To our knowledge, there has been no documentation of a so-called traumatic neuroma associated with obstructive jaundice following the repair of bile duct injury which occurred during a laparoscopic cholecystectomy. The so-called traumatic neuroma may contribute to the late-onset stricture of the bile duct at the repair site. These cases may have important implications when considering the mechanism of stricture following a repair of the bile duct and when determining the appropriate management strategies to surgically treat bile duct injury during a laparoscopic cholecystectomy.
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W419459447