Primary Cholangiocarcinoma of the Liver Presenting as a Complicated Hepatic Cyst: A Diagnostic Challenge
- Author:
Chang Won HA
1
;
Sang Deok SHIN
;
Myung Ji GOH
;
Byeong Geun SONG
;
Wonseok KANG
;
Dong Hyun SINN
;
Geum-Youn GWAK
;
Yong-Han PAIK
;
Moon Seok CHOI
;
Joon Hyeok LEE
Author Information
- Publication Type:CASE REPORT
- From:The Korean Journal of Gastroenterology 2025;85(1):83-88
- CountryRepublic of Korea
- Language:English
- Abstract: Primary cholangiocarcinoma is a rare bile duct epithelial neoplasm that can present with atypical clinical manifestations, complicating its diagnosis. A 62-year-old male showed symptoms suggestive of a complicated hepatic cyst that was later identified as intrahepatic cholangiocarcinoma. The patient presented with abdominal discomfort without fever. Imaging revealed a large cystic lesion in the liver. Despite the initial treatment for a presumed abscess, a biopsy confirmed cholangiocarcinoma. This case highlights the diagnostic challenge of distinguishing between benign complicated hepatic cysts and malignancies, particularly when typical markers of infection are absent. Early biopsy and vigilant assessments are crucial in such presentations to avoid a delayed diagnosis and initiate appropriate treatment.
