A case study of choledochal Schwannoma: imaging manifestations and it’s anatomic and pathological basis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Liping ^1,2 ,  LU Chunyan ¹

1. Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Medical Imaging, The People’s Hospital of Yuxi City, Yuxi, Yunnan 653100, P. R. China;

Corresponding author：

LU Chunyan, Email: luchunyan@wchscu.cn

Keywords：

common bile duct; Schwannoma; imaging manifestations; pathological basis

DOI：

10.7507/1007-9424.202309035

Video：

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Abstract Full text Figures/Tables Video References Cited by

Schwannoma originating from the common bile duct is rare. We presented a patient who was diagnosed with biliary cystadenoma preoperatively and pathologically confirmed as a choledochal Schwannoma, analyzed the CT and MRI imaging manifestations, and illustrated its anatomical and pathological basis, and to improve the understanding of clinicians and radiologists for choledochal Schwannoma.

Citation： LI Liping, LU Chunyan. A case study of choledochal Schwannoma: imaging manifestations and it’s anatomic and pathological basis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(1): 24-27. doi: 10.7507/1007-9424.202309035 Copy

1.	赵福昌, 唐怡, 梁洪伟, 等. 一例胰腺神经鞘瘤的影像特征并文献复习. 中华内分泌外科杂志, 2023, 17(3): 378-379.
2.	Fonseca GM, Montagnini AL, Rocha Mde S, et al. Biliary tract schwannoma: a rare cause of obstructive jaundice in a youngpatient. World J Gastroenterol, 2012, 18(37): 5305-5308.
3.	Cui W, Xing L, Fu L, et al. Primary malignant peripheral nerve sheath tumor of the stomach: A rare case report and review of literature. Int J Surg Pathol, 2023, 31(2): 221-226.
4.	赵鲁平, 王林省, 毛森, 等. 胃神经鞘瘤的CT表现. 医学影像学杂志, 2023, 33(4): 600-604.
5.	王萍, 陈光祥, 舒健, 等. 多层螺旋CT多期增强鉴别诊断胃神经鞘瘤与胃间质瘤. 中国医学影像学杂志, 2023, 31(2): 155-159.
6.	李兰涛, 王爱英, 朱继兰, 等. MSCT动态增强在胃神经鞘瘤诊断中的价值. 中国CT和MRI杂志, 2023, 21(4): 120-121, 124.
7.	Shen ZH, Yuan WB, Yan Q, et al. An accidental gallbladder schwannoma misdiagnosis as malignant cancer. Hepatobiliary Pancreat Dis Int, 2023, 22(2): 217-220.
8.	Otani T, Shioiri T, Mishima H, et al. Bile duct schwannoma developed in the remnant choledochal cyst—a case associated with total agenesis of the dorsal pancreas. Dig Liver Dis, 2005, 37(9): 705-708.
9.	郭成伟, 刘于宝, 全显跃. 肝门部胆管神经鞘瘤的影像学表现. 中国医学影像学杂志, 2014, 22(5): 361-364.
10.	王飞, 张晓娇, 王光宪. 梗阻性黄疸-胆总管下段神经鞘瘤1例. 实用放射学杂志, 2022, 38(8): 1395-1396.
11.	柴亚婷, 曹雨青, 吴璠, 等. 肝脏和胆囊颈旁同步原发神经鞘瘤1例. 中国临床医学影像杂志, 2021, 32(8): 602-604.
12.	肖日国, 吴佩红, 许晓杰. CT及MRI在神经鞘瘤诊治中应用研究. 中国CT和MRI杂志, 2016, 14(10): 133-136.
13.	Ota Y, Aso K, Watanabe K, et al. Hepatic schwannoma: imaging findings on CT, MRI and contrast-enhanced ultrasonography. World J Gastroenterol, 2012, 18(35): 4967-4972.
14.	Ji JS, Lu CY, Mao WB, et al. Gastric schwannoma: CT findings and clinicopathologic correlation. Abdom Imaging, 2015, 40(5): 1164-1169.
15.	Metussin A, Telisinghe P, Kok K, et al. Extrahepatic biliary cystadenoma: a rare cause of biliary obstruction. Oman Med J, 2015, 30(1): 66-68.
16.	陈昆仑, 叶健文, 王碹, 等. 肝外胆管囊腺瘤的诊断与治疗. 中华消化外科杂志, 2019, 18(4): 400-402.

1. 赵福昌, 唐怡, 梁洪伟, 等. 一例胰腺神经鞘瘤的影像特征并文献复习. 中华内分泌外科杂志, 2023, 17(3): 378-379.
2. Fonseca GM, Montagnini AL, Rocha Mde S, et al. Biliary tract schwannoma: a rare cause of obstructive jaundice in a youngpatient. World J Gastroenterol, 2012, 18(37): 5305-5308.
3. Cui W, Xing L, Fu L, et al. Primary malignant peripheral nerve sheath tumor of the stomach: A rare case report and review of literature. Int J Surg Pathol, 2023, 31(2): 221-226.
4. 赵鲁平, 王林省, 毛森, 等. 胃神经鞘瘤的CT表现. 医学影像学杂志, 2023, 33(4): 600-604.
5. 王萍, 陈光祥, 舒健, 等. 多层螺旋CT多期增强鉴别诊断胃神经鞘瘤与胃间质瘤. 中国医学影像学杂志, 2023, 31(2): 155-159.
6. 李兰涛, 王爱英, 朱继兰, 等. MSCT动态增强在胃神经鞘瘤诊断中的价值. 中国CT和MRI杂志, 2023, 21(4): 120-121, 124.
7. Shen ZH, Yuan WB, Yan Q, et al. An accidental gallbladder schwannoma misdiagnosis as malignant cancer. Hepatobiliary Pancreat Dis Int, 2023, 22(2): 217-220.
8. Otani T, Shioiri T, Mishima H, et al. Bile duct schwannoma developed in the remnant choledochal cyst—a case associated with total agenesis of the dorsal pancreas. Dig Liver Dis, 2005, 37(9): 705-708.
9. 郭成伟, 刘于宝, 全显跃. 肝门部胆管神经鞘瘤的影像学表现. 中国医学影像学杂志, 2014, 22(5): 361-364.
10. 王飞, 张晓娇, 王光宪. 梗阻性黄疸-胆总管下段神经鞘瘤1例. 实用放射学杂志, 2022, 38(8): 1395-1396.
11. 柴亚婷, 曹雨青, 吴璠, 等. 肝脏和胆囊颈旁同步原发神经鞘瘤1例. 中国临床医学影像杂志, 2021, 32(8): 602-604.
12. 肖日国, 吴佩红, 许晓杰. CT及MRI在神经鞘瘤诊治中应用研究. 中国CT和MRI杂志, 2016, 14(10): 133-136.
13. Ota Y, Aso K, Watanabe K, et al. Hepatic schwannoma: imaging findings on CT, MRI and contrast-enhanced ultrasonography. World J Gastroenterol, 2012, 18(35): 4967-4972.
14. Ji JS, Lu CY, Mao WB, et al. Gastric schwannoma: CT findings and clinicopathologic correlation. Abdom Imaging, 2015, 40(5): 1164-1169.
15. Metussin A, Telisinghe P, Kok K, et al. Extrahepatic biliary cystadenoma: a rare cause of biliary obstruction. Oman Med J, 2015, 30(1): 66-68.
16. 陈昆仑, 叶健文, 王碹, 等. 肝外胆管囊腺瘤的诊断与治疗. 中华消化外科杂志, 2019, 18(4): 400-402.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A case study of choledochal Schwannoma: imaging manifestations and it’s anatomic and pathological basis

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