A CASE OF TRAUMATIC NEUROMA OF THE COMMON BILIARY DUCT SIMULATING A CHOLANGIOCARCINOMA

We present a case of traumatic neuroma the common bile duct in 53-year-old woman who presented with jaundice,5months after cholecystectomy. Physical examination revealed jaundice, epigastric pain and scratching lesions. Gamma glutamyl transferase (GGT) at 109 U/L, Alkaline phosphatase 175U/L. CA19-9 was 500U/mlMagnetic resonance cholangiopancreatography T1 T2hyperintense lesion peri-hilar fat. An increase intensity noted useof gadolinium.Exploratory laparotomy performed presumptive diagnosis cholangiocarcinoma. Pathologic analysis surgical specimen Haphazard mature nerves, consistent neuroma. Follow-up patient showed no post-operative complications or signs recurrence.