[Amputation neuroma of the common bile duct after cholecystectomy. Lethal hepatic complications]. 1991

G Hofmann-Wackersreuther, and P Ortloff-Kittredge, and P H Wünsch
Institut für Pathologie, Klinikum Nürnberg, BRD.

Reported in this paper is a rare case of "amputation neuroma" of the cystic duct which had developed in the wake of cholecystectomy. The tumor had grown into the common bile duct over years and, eventually, had caused complete obliteration of the latter. Recurrent cholangitis had resulted in epigastric pain, febrile attacks, and icterus. Secondary biliary liver cirrhosis and a chronic biliodigestive fistula were additional complications. An acute cholangitis attack caused liver abscesses, and the patient died of septic shock.

UI MeSH Term Description Entries
D008100 Liver Abscess Solitary or multiple collections of PUS within the liver as a result of infection by bacteria, protozoa, or other agents. Abscess, Hepatic,Abscess, Liver,Abscesses, Hepatic,Abscesses, Liver,Hepatic Abscess,Hepatic Abscesses,Liver Abscesses
D008103 Liver Cirrhosis Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules. Cirrhosis, Liver,Fibrosis, Liver,Hepatic Cirrhosis,Liver Fibrosis,Cirrhosis, Hepatic
D009463 Neuroma A tumor made up of nerve cells and nerve fibers. (Dorland, 27th ed) Neuromas
D002761 Cholangitis Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both. Cholangitides
D002763 Cholecystectomy Surgical removal of the GALLBLADDER. Cholecystectomies
D003138 Common Bile Duct Neoplasms Tumor or cancer of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old

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