Artículos de revistas
Biliary tract schwannoma: A rare cause of obstructive jaundice in a young patient
Fecha
2012Registro en:
WORLD JOURNAL OF GASTROENTEROLOGY, BEIJING, v. 18, n. 37, pp. 5305-5308, OCT, 2012
1007-9327
10.3748/wjg.v18.i37.5305
Autor
Fonseca, Gilton Marques
Montagnini, Andre Luis
Rocha, Manoel de Souza
Patzina, Rosely Antunes
Angelete Alvarez Bernardes, Mario Vinicius
Cecconello, Ivan
Jukemura, Jose
Institución
Resumen
Schwannoma is a tumor derived from Schwann cells which usually arises in the upper extremities, trunk, head and neck, retroperitoneum, mediastinum, pelvis, and peritoneum. However, it can arise in the gastrointestinal tract, including biliary tract. We present a 24-year-old male patient with obstructive jaundice, whose investigation with computed tomography abdomen showed focal wall thickening in the common hepatic duct, difficult to differentiate with hilar adenocarcinoma. He was diagnosed intraoperatively schwannoma of common bile duct and treated with local resection. The patient recovered well without signs of recurrence of the lesion after 12 mo. We also reviewed the common bile duct schwannoma related in the literature and evaluated the difficulty in pre and intraoperative differential diagnosis with adenocarcinoma hilar. Resection is the treatment of choice for such cases and the tumor did not recur in any of the resected cases. (C) 2012 Baishideng. All rights reserved.