Jacobs Journal of Clinical Case Reports

Advanced Intrahepatic Cholangiocarcinoma Presenting as a Bilobar Liver Mass

*Andreas Lienig
Department Of Gastroenterology, Germany

*Corresponding Author:
Andreas Lienig
Department Of Gastroenterology, Germany
Email:a.lienig@klinikum-stuttgart.de

Published on: 2017-06-09

Abstract

In our emergency department, a 70 year old male presented with fever, night sweats and diffuse abdominal pain in the right upper quadrant, which had been ongoing for four weeks. He reported a weight loss of 10kg and a loss of appetite. Until four weeks he felt well. The medical history included coronary artery disease and diabetes mellitus type 2. There was no family history of malignant diseases. The daily medication consisted of 100mg aspirin.

Keywords

Introduction

In our emergency department, a 70 year old male presented with fever, night sweats and diffuse abdominal pain in the right upper quadrant, which had been ongoing for four weeks. He reported a weight loss of 10kg and a loss of appetite. Until four weeks he felt well. The medical history included coronary artery disease and diabetes mellitus type 2. There was no family history of malignant diseases. The daily medication consisted of 100mg aspirin. On examination the patient’s temperature was 37.0°C, the pulse 90 beats per minute, and the blood pressure 125/75 mm Hg; the oxygen saturation was 95% while the patient was breathing ambient air. The lung was clear on auscultation, cardiovascular examination was unremarkable, there was abdominal pain and tenderness in the right upper quadrant, the liver was enlarged. No enlarged lymph nodes were palpated.