Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
Two cases of amputation neuroma with obstructive jaundice after cholecystectomy
Katsuya OKADAMitsuo MIYAZAWAMasayasu AIKAWAYasuko TOSHIMITSUKohjun OKAMOTOIsamu KOYAMA
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2009 Volume 70 Issue 7 Pages 2128-2134

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Abstract
Case 1 is a 57-year-old woman. She was had had a cholecystectomy and choledochotomy for cholelithiasis nine years Prior to being admitted due to jaundice. The patient had an upper common bile duct stenosis ; hepatic portal region cholangiocarcinoma was diagnosed and surgery was done. Case 2 is a 60-year-old woman. She had had a cholecystectomy and choledochotomy for gallstone cholecystitis two years, eight months prior. She developed very yellow colored urine and was found to be jaundiced. Choledochal stenosis was diagnosed and surgery to relieve the benign biliary tract stenosis was done. In both of these cases an extrahepatic bile duct excision was done. On pathology, an amputation neuroma was diagnosed in both. We report these rare cases of amputation neuroma that occurred in the biliary system and discuss the literature.
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© 2009 Japan Surgical Association
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