Laparoscopic cholecystectomy has been found to be associated with the development of traumatic neuromas on rare occasions. The present study reports a rare case of post-cholecystectomy biliary tree traumatic neuroma. Herein, a 47-year-old female with a history of laparoscopic cholecystectomy presented with upper abdominal pain and anorexia. Upon an examination, a yellow discoloration of the sclera was observed. Magnetic resonance cholangiopancreatography revealed a dilated proximal bile duct and mild dilatation of the intrahepatic biliary tree due to a stricture. Intraoperatively, a hard bile duct mass was observed with multiple enlarged lymph nodes in the peri-hepatic region. The patient was initially suspected to have bile duct cancer; however, a histopathological analysis of the resected mass revealed a bile duct traumatic neuroma. Biliary traumatic neuromas may be underestimated since they often remain asymptomatic. It is unfortunate that, as traumatic neuromas often lack distinguishing characteristics, no particular radiological findings for traumatic neuromas of the bile duct have been described to date, at least to the best of our knowledge. The rarity of this condition, combined with the absence of a standardized diagnostic modality, renders its diagnosis difficult and can even lead to misdiagnosis as biliary cancer.

Introduction: Glomus tumor (GT) mainly occurs in the extremities. Its appearance elsewhere has rarely been reported. This study aims to report an incidental finding of gastric GT in a patient with biliary colic. Case presentation: A 45-year-old female presents with moderate to severe upper abdominal pain. Physical examination was performed, the abdomen was soft, nontender, and no mass felt. Transabdominal ultrasound showed a single stone in the gallbladder, normal wall thickness, and no biliary dilatation. The diagnosis of biliary colic was achieved based on the clinical presentation, examination findings, and test results. Wedge resection of the stomach with open cholecystectomy was performed. Histopathology result was compatible with gastric GT. Clinical discussion: The clinical examination of GT is much similar to other tumors like hemangioma, lipoma, gastrointestinal stromal tumor, and leiomyoma. Concerning diagnosis, GT is mostly intersecting with gastrointestinal stromal tumors, mainly in small biopsy screening. For this reason, most of the gastric GT can be identified preoperatively as gastrointestinal stromal tumors. Conclusion: Gastric GT is an uncommon benign tumor that can be found incidentally during the diagnosis of other diseases or tumors because of its clinical and radiologic similarities.

Introduction and importance:The simultaneous development of Kasabach-Merritt syndrome (KMS) and focal nodular hyperplasia (FNH) in the same individual is rare. This study aims to report the coexistence of KMS and FNH in a 32-year-old female. Case presentation: A 32-year-old woman presented to the gastroenterology clinic complaining of heavy menses, fatigue, and hematuria. Physical examination revealed multiple ecchymoses on the skin. Abdominal computed tomography scan revealed a large hepatic lesion with features of atypical hemangioma. Complete blood count showed normochromic, normocytic red blood cells, and thrombocytopenia. Surgery was decided based on a clinical diagnosis of KMS resulting from a giant liver hemangioma. Histopathologic diagnosis of the resected lesion was FNH. Clinical discussion: KMS, which refers to a giant hemangioma associated with thrombocytopenia, was initially described by Kasabach and Merritt. It occurs in nearly 1% of hemangiomas and primarily affects infants. KMS is a life-threatening condition that could be fatal if adequate, timely treatment is not administered. FNH is a benign hepatocellular neoplasm with a predilection for females. Conclusion: KMS and FNH are 2 distinct conditions that can rarely co-exist in the same patient. Corticosteroids, radiotherapy, and surgical resection are the primary modalities of treatment.