Epidemiology, risk factors, diagnosis, and treatment of intra-abdominal traumatic neuromas - a narrative review.

Epidemiology, risk factors, diagnosis, and treatment of intra-abdominal traumatic neuromas - a narrative review.
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DOI:
10.1186/s12876-023-03049-y
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发表时间:
2023-11-28
影响因子:
2.4
通讯作者:
Lu, Jiong
Lu, Jiong
中科院分区:
医学4区
文献类型:
--
作者:
Wang, Yaoqun;Yang, Sishu;Li, Bei;Shuai, Cunyong;Xiong, Xianze;Lu, Jiong

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This is the largest case series and case review of traumatic neuroma in the abdominal cavity. We conclude and update the clinical and epidemiological characteristics of TN in the abdominal cavity. We assessed and discussed the management of TN in the abdominal cavity, especially TBN. Traumatic neuroma (TN) is a disorganized proliferation of injured nerves arising from the axons and Schwann cells. Although TN rarely occurs in the abdominal cavity, the incidence of TN may be underestimated because of the large number of asymptomatic patients. TN can cause persistent pain, which seriously affects quality of life. TN of the biliary system can cause bile duct obstruction, leading to acute cholangitis. It is difficult to differentiate TN from malignancies or recurrence of malignancy, which results in a number of patients receiving aggressive treatment. We collected cases reports of intra-abdominal TN over the past 30 years form PubMed and cases diagnosed in our medical center over the past 20 years, which is the largest case series of intra-abdominal TN to the best of our knowledge. In this review, we discuss the epidemiology, pathophysiology, risk factors, classification, diagnosis, and management of intra-abdominal TN.
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