BUiary tract schwannoma： A rare cause of obstructive jaundice in a young patient

• Published in: 世界胃肠病学杂志：英文版 Vol. 18; no. 37; pp. 5305 - 5308
• Main Author: Gilton Marques Fonseca Andre Luis Montagnini Manoel de Souza Rocha Rosely Antunes Patzina Mario Vinicius Angelete Alvarez Bernardes Ivan Cecconello Jose Jukemura
• Format: Journal Article
• Language: English
• Published: 2012
• Subjects: CT检查; 原因; 患者; 手术切除; 神经; 阻性; 雪旺氏细胞; 黄疸
• ISSN: 1007-9327; 2219-2840

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 gastro- intestinal tract, including biliary tract. We present a 24-year-old male patient with obstructive jaundice, whose investigation with computed tomography abdo- men showed focal wall thickening in the common he- patic duct, difficult to differentiate with hilar adenocarci- noma. 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 com- mon bile duct schwannoma related in the literature and evaluated the difficulty in pre and intraoperative differ- ential 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.