Neurofibroma of the bile duct: a rare cause of obstructive jaundice

Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stric...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2013-03, Vol.95 (2), p.e38-e16
Main Authors: De Rosa, A, Gomez, D, Zaitoun, A M, Cameron, I C
Format: Article
Language:English
Subjects:
Abdomen
Aged
Bile
Cholecystectomy
Common Bile Duct Neoplasms - complications
Common Bile Duct Neoplasms - pathology
Common Bile Duct Neoplasms - surgery
Disease
Family medical history
Female
Humans
Jaundice, Obstructive - etiology
Jaundice, Obstructive - pathology
Jaundice, Obstructive - surgery
Lymphatic system
Neurofibroma - complications
Neurofibroma - pathology
Neurofibroma - surgery
Online Case Report
Patients
Tumors
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Summary:Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stricture on imaging. She underwent an exploratory laparotomy, and intraoperative frozen section confirmed clear margins and a benign lesion. Excision of the extrahepatic bile duct and A Rouxen-Y hepaticojejunostomy was performed. We discuss the clinical features and management of neurofibromas of the bile duct in light of the literature.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588413X13511609955931