Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis
Abstract Background Liver tumors with liver abscesses are unusual and rarely reported. In particular, studies of intrahepatic cholangiocarcinoma with liver abscesses due to hepatic actinomycosis have not been reported. Case presentation A 73-year-old woman presented with swelling of the right hypoch...
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| Language: | English |
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Japan Surgical Society
2023-03-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01625-8 |
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| author | Tomoya Masuda Kenta Kobashi Ryoma Sugimoto Hiroshi Ishii Kensuke Tsunemitsu |
| author_facet | Tomoya Masuda Kenta Kobashi Ryoma Sugimoto Hiroshi Ishii Kensuke Tsunemitsu |
| author_sort | Tomoya Masuda |
| collection | DOAJ |
| description | Abstract Background Liver tumors with liver abscesses are unusual and rarely reported. In particular, studies of intrahepatic cholangiocarcinoma with liver abscesses due to hepatic actinomycosis have not been reported. Case presentation A 73-year-old woman presented with swelling of the right hypochondrium. Computed tomography revealed a mass lesion that was continuous with the abdominal wall in the right lobe of the liver, suggesting a liver tumor invading the abdominal wall. A liver biopsy revealed intrahepatic cholangiocarcinoma with a liver abscess. The histopathological specimen contained bacterial masses of actinomycosis, and the cause of the liver abscess was determined to be hepatic actinomycosis. As a result of percutaneous drainage and antibiotic therapy, the part of the tumor attached to the abdominal wall disappeared; therefore, we assumed that most of the lesion was not cholangiocarcinoma but a liver abscess due to hepatic actinomycosis. Radical surgery for residual intrahepatic cholangiocarcinoma was performed after chemotherapy. Currently, the patient is alive without recurrence 2 years and 9 months after the operation. Conclusion We encountered a difficult-to-diagnose case of intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis. A needle biopsy allowed early diagnosis and percutaneous drainage was an effective treatment. |
| format | Article |
| id | doaj-art-dce453341fe449bd937719ecd3efad0b |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-dce453341fe449bd937719ecd3efad0b2025-08-20T03:19:53ZengJapan Surgical SocietySurgical Case Reports2198-77932023-03-01911710.1186/s40792-023-01625-8Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosisTomoya Masuda0Kenta Kobashi1Ryoma Sugimoto2Hiroshi Ishii3Kensuke Tsunemitsu4Department of Surgery, Saiseikai Saijo HospitalDepartment of Surgery, Saiseikai Saijo HospitalDepartment of Surgery, Saiseikai Saijo HospitalDepartment of Surgery, Saiseikai Saijo HospitalDepartment of Surgery, Saiseikai Saijo HospitalAbstract Background Liver tumors with liver abscesses are unusual and rarely reported. In particular, studies of intrahepatic cholangiocarcinoma with liver abscesses due to hepatic actinomycosis have not been reported. Case presentation A 73-year-old woman presented with swelling of the right hypochondrium. Computed tomography revealed a mass lesion that was continuous with the abdominal wall in the right lobe of the liver, suggesting a liver tumor invading the abdominal wall. A liver biopsy revealed intrahepatic cholangiocarcinoma with a liver abscess. The histopathological specimen contained bacterial masses of actinomycosis, and the cause of the liver abscess was determined to be hepatic actinomycosis. As a result of percutaneous drainage and antibiotic therapy, the part of the tumor attached to the abdominal wall disappeared; therefore, we assumed that most of the lesion was not cholangiocarcinoma but a liver abscess due to hepatic actinomycosis. Radical surgery for residual intrahepatic cholangiocarcinoma was performed after chemotherapy. Currently, the patient is alive without recurrence 2 years and 9 months after the operation. Conclusion We encountered a difficult-to-diagnose case of intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis. A needle biopsy allowed early diagnosis and percutaneous drainage was an effective treatment.https://doi.org/10.1186/s40792-023-01625-8Liver abscessHepatic actinomycosisIntrahepatic cholangiocarcinoma |
| spellingShingle | Tomoya Masuda Kenta Kobashi Ryoma Sugimoto Hiroshi Ishii Kensuke Tsunemitsu Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis Surgical Case Reports Liver abscess Hepatic actinomycosis Intrahepatic cholangiocarcinoma |
| title | Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis |
| title_full | Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis |
| title_fullStr | Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis |
| title_full_unstemmed | Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis |
| title_short | Intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis |
| title_sort | intrahepatic cholangiocarcinoma with a liver abscess due to hepatic actinomycosis |
| topic | Liver abscess Hepatic actinomycosis Intrahepatic cholangiocarcinoma |
| url | https://doi.org/10.1186/s40792-023-01625-8 |
| work_keys_str_mv | AT tomoyamasuda intrahepaticcholangiocarcinomawithaliverabscessduetohepaticactinomycosis AT kentakobashi intrahepaticcholangiocarcinomawithaliverabscessduetohepaticactinomycosis AT ryomasugimoto intrahepaticcholangiocarcinomawithaliverabscessduetohepaticactinomycosis AT hiroshiishii intrahepaticcholangiocarcinomawithaliverabscessduetohepaticactinomycosis AT kensuketsunemitsu intrahepaticcholangiocarcinomawithaliverabscessduetohepaticactinomycosis |