Intrahepatic Cholangiocarcinoma Associated with Central Calcification and Arterio-portal Shunt

Mitsuteru KITADE; Hitoshi YOSHIJI; Junichi YAMAO; Masao FUJIMOTO; Hideyuki KOJIMA; Akira MITORO; Motoyuki YOSHIDA; Tadashi NAMISAKI; Masaharu YAMAZAKI; Masahisa TOYOHARA; Masahito UEMURA; Hiroshi FUKUI

doi:10.2169/internalmedicine.44.825

CASE REPORTS

Intrahepatic Cholangiocarcinoma Associated with Central Calcification and Arterio-portal Shunt

Mitsuteru KITADE, Hitoshi YOSHIJI, Junichi YAMAO, Masao FUJIMOTO, Hideyuki KOJIMA, Akira MITORO, Motoyuki YOSHIDA, Tadashi NAMISAKI, Masaharu YAMAZAKI, Masahisa TOYOHARA, Masahito UEMURA, Hiroshi FUKUI

Author information

Mitsuteru KITADE
Third Department of Internal Medicine, Nara Medical University
Hitoshi YOSHIJI
Third Department of Internal Medicine, Nara Medical University
Junichi YAMAO
Third Department of Internal Medicine, Nara Medical University
Masao FUJIMOTO
Third Department of Internal Medicine, Nara Medical University
Hideyuki KOJIMA
Third Department of Internal Medicine, Nara Medical University
Akira MITORO
Third Department of Internal Medicine, Nara Medical University
Motoyuki YOSHIDA
Third Department of Internal Medicine, Nara Medical University
Tadashi NAMISAKI
Third Department of Internal Medicine, Nara Medical University
Masaharu YAMAZAKI
Third Department of Internal Medicine, Nara Medical University
Masahisa TOYOHARA
Third Department of Internal Medicine, Nara Medical University
Masahito UEMURA
Third Department of Internal Medicine, Nara Medical University
Hiroshi FUKUI
Third Department of Internal Medicine, Nara Medical University

Keywords: intrahepatic cholangiocarcinoma, central calcification, arterio-portal (A-P) shunt

JOURNAL OPEN ACCESS

2005 Volume 44 Issue 8 Pages 825-828

DOI https://doi.org/10.2169/internalmedicine.44.825

Details

Abstract

Although several diagnostic imaging modalities have been significantly improved in the recent years, the definitive diagnosis of intrahepatic cholangiocarcinoma (IHC) is still sometimes difficult because of the versatile features of IHC with each imaging. A 68-year-old Japanese man with alcoholic liver cirrhosis developed an intrahepatic tumor. Several imaging modalities demonstrated various features, such as central calcification and arterio-portal (A-P) shunt. Since we could not reach a final diagnosis and the tumor size gradually increased, partial hepatectomy was done after obtaining written informed consent from the patient. The postoperative histopathological examination revealed a cholangiocarcinoma. Herein, we report this case of IHC that was very difficult to diagnose due to the simultaneous association with central calcification and A-P shunt.

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