Traumatic Neuroma in the Pancreas Head Following Excision of Pseudocyst: A Brief Case Report.
- Author:
Jeong Won KIM
1
;
Gawon CHOI
;
Jeong Eun HWANG
;
Shin Kwang KANG
;
Duck Jong HAN
;
Se J JANG
Author Information
1. Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. jangsejin@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Neoplasms, Post-Traumatic;
Neuroma;
Pancreatic Pseudocyst
- MeSH:
Common Bile Duct;
Constriction, Pathologic;
Diagnosis;
Diagnosis, Differential;
Head and Neck Neoplasms;
Head*;
Humans;
Middle Aged;
Neoplasms, Post-Traumatic;
Neuroma*;
Pancreas*;
Pancreatic Pseudocyst;
Pancreatitis, Chronic;
Shock, Septic
- From:Korean Journal of Pathology
2006;40(5):385-388
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We describe here a case of traumatic neuroma that developed in the pancreas head as a rare complication of pancreatic surgery for pseudocyst. A 50-year-old man presented with septic shock. The patient was a heavy drinker with history of operation for pancreatic pseudocyst 28 years ago. On the radiologic examinations, a poorly defined mass-like lesion was found in the uncinate process of pancreas, and it had features of chronic pancreatitis and a stricture of the distal common bile duct. Whipple's operation was performed due to the diagnosis of suspected pancreas head cancer. The pancreas revealed an ill-demarcated 4 cm sized firm mass with grayish white fibrotic cut surface in the head portion. On the microscopic examination, the mass was composed of haphazard proliferations of nerve fascicles in a fibrocollagenous matrix and this case was diagnosed as traumatic neuroma. Although traumatic neruoma is a rare cause of a pancreatic mass, it should be included as a differential diagnosis of pancreatic mass in patients with a history of pancreatic surgery.
