A Case Report of Amuputation Neuroma of the Common Bile Duct Occurred Two Months after Cholecystectomy

Yasuhiro Fujino, Yoshiharu Satoh, Yoichi Saitoh¹⁾

Department of Surgery, Kohnan Hospital
First Department of Surgery, Kobe University School of Medicine¹⁾

A 67-year-old woman complained of jaundiced two months after cholecystectomy. She was diagnosised as having cancer of the common bile duct because percutaneous transhepatic cholangiography revealed stenosis of the middle bile duct and cytological evaluation of the bile was class V. She had been treated conservatively. Then she was re-hospitalized because her general condition did not get worse, and pancreatodudenectomy was performed. On laparotomy, we found an elastic-hard 5×3 cm tumor spreading from the confluence to the lower common bile duct. Histological examination revealed an amputation neuroma in the wall of the bile duct as a result of the cholecystectomy. In this case obstructive jaundice occurred at an earlier stage after the primary operation than in other reported cases of amputation neuroma of the bile duct.

Key words
amuputation neuroma, obstructive jaundice

Reprint requests
Yasuhiro Fujino First Department of Surgery, Kobe University, School of Medicine
7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650 JAPAN

Accepted
April 17, 1991

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