Rare Clinical and Radiologic Case of Cholangiocarcinoma Mimicking Pyogenic Abscess, Hepatic Echinococcal Cysts, and Metastases
- Author:
Si Hyeong LEE
1
;
Soo Hyung RYU
;
Dong Hoon LEE
;
Won Eui YOON
;
Tae Young PARK
;
Hye Kyung LEE
;
Jeong Seop MOON
Author Information
- Publication Type:Case Report
- From:Journal of Liver Cancer 2020;20(2):173-176
- CountryRepublic of Korea
- Language:Korean
- Abstract: Cholangiocarcinoma is a biliary carcinoma with a wide spectrum of imaging, histological, and clinical features. In immunocompromised patients, pyogenic abscesses are relatively common and an echinococcal hepatic cysts are very rare. The authors experienced a very rare case of cholangiocarcinoma showing multiple hypodense masses with wall enhancement mimicking pyogenic liver abscess, echinococcal hepatic cyst, and cystic metastases. An 83-year-old man, complaining of fatigue and poor oral intake, presented to our outpatient clinic. Abdominal computed tomography (CT) revealed multiple, variable-sized hypodense masses with peripheral rim enhancement throughout the liver. Dynamic liver magnetic resonance images also showed findings similar to those of a CT scan. We performed ultrasound-guided biopsy of the mass which revealed cholangiocarcinoma.
