Endoscopy 2003; 35(8): 695-697
DOI: 10.1055/s-2003-41521
Case Report

© Georg Thieme Verlag Stuttgart · New York

Schwannoma of the Common Bile Duct: A Rare Cause of Obstructive Jaundice

R.  Jakobs1 , J.  Albert1 , D.  Schilling1 , T.  Nuesse2 , J.  F.  Riemann1
  • 1 Department of Medicine C, Academic Hospital of the University of Mainz, Ludwigshafen, Germany
  • 2 Institute of Pathology, Academic Hospital of the University of Mainz, Ludwigshafen, Germany
Further Information

Publication History

Submitted 20 December 2002

Accepted after Revision 5 March 2003

Publication Date:
20 August 2003 (online)

The endoscopic diagnosis of bile duct lesions has improved over recent years through the introduction of cholangioscopy and intraductal ultrasound. Combining this with biopsies examined using routinely administered immunohistochemical markers, the diagnosis of tumors of the extrahepatic bile duct can be improved substantially. We report a rare case of a schwannoma of the bile duct causing obstructive jaundice.

References

  • 1 Shapiro P F, Lifvendahl R A. Tumors of the extrahepatic bile ducts.  Ann Surg. 1931;  94 61-79
  • 2 Dowdy G S, Olin W G, Shelton E L, Waldron G W. Benign tumors of the extrahepatic bile ducts.  Arch Surg. 1962;  85 503-512
  • 3 Hajdu S I. Peripheral nerve sheath tumors.  Cancer. 1993;  72 2549-2552
  • 4 Daimaru Y, Hideki K, Hashimoto H, Enjoji M. Benign schwannomas of the gastrointestinal tract: a clinicopathologic and immunohistochemical study.  Hum Pathol. 1988;  19 257-264
  • 5 Jacobsen B C, Hirsch M S, Lee J H. et al . Multiple asymptomatic plexiform schwannomas of the sigmoid colon: a case report and review.  Gastrointest Endosc. 2001;  53 801-804
  • 6 Prevot S, Bienvenu L, Vaillant J C, Saint-Maur P P. Benign schwannoma of the digestive tract: a clinicopathologic and immunohistochemical study of five cases; including a case of esophageal tumor.  Am J Surg Pathol. 1999;  23 431-436
  • 7 Nagafuchi Y, Mitsuo H, Takeda S. et al . Benign schwannoma in the hepatoduodenal ligament: report of a case.  Surg Today. 1993;  23 68-72
  • 8 Huenerbein M, Dohmoto M, Haensch W, Schlag P M. Biliary obstruction caused by a multifocal duodenal neurosarcoma in a patient with von Recklinghausen's disease.  Endoscopy. 1996;  28 405-406
  • 9 Wysocki A, Palpa B. Neuromas of the extrahepatic bile ducts (in Polish).  Przegl Lek. 1999;  56 747-749
  • 10 Rudolph R, Chiaravalli A M, Pauser U. et al . Gastrointestinal mesenchymal tumors - immunophentpyic classification and survival analysis.  Virchows Arch. 2002;  441 238-248
  • 11 Kwown S M, Lee S S, Ahn G H. Schwannomas of the gastrointestinal tract. Clinicopathologic features of 12 cases including a case of esophageal tumor compared with those of gastrointestinal stroma tumors and leiomyomas of the gastrointestinal tract.  Pathol Res Preact. 2002;  198 605-613

R. Jakobs, MD

Department of Medicine C (Gastroenterology) · Klinikum der Stadt Ludwigshafen gGmbH · Academic Hospital of the University of Mainz

Bremserstraße 79 · 67063 Ludwigshafen · Germany ·

Fax: +49-621-503-4114

Email: jakobsr@klilu.de

    >