CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2019; 02(02): 135-139
DOI: 10.1055/s-0039-1694800
Case Report
Indian Society of Gastrointestinal and Abdominal Radiology

Presentation of Intrahepatic Cholangiocarcinoma with Fulminant Hepatic Failure: A Case Report

Thara Pratap
1  Department of Radiology, VPS Lakeshore Hospital, Kochi, Kerala, India
,
Muhammed Jasim Abdul Jalal
2  Department of Internal Medicine and Rheumatology, VPS Lakeshore Hospital, Kochi, Kerala, India
,
Pushpa Mahadevan
3  Department of Pathology, VPS Lakeshore Hospital, Kochi, Kerala, India
,
Abraham Koshy
4  Department of Gastroenterology, VPS Lakeshore Hospital, Kochi, Kerala, India
,
Roy J. Mukkada
4  Department of Gastroenterology, VPS Lakeshore Hospital, Kochi, Kerala, India
,
Pradeep G. Mathew
4  Department of Gastroenterology, VPS Lakeshore Hospital, Kochi, Kerala, India
,
Rithu Sebastian
4  Department of Gastroenterology, VPS Lakeshore Hospital, Kochi, Kerala, India
› Author Affiliations
Further Information

Publication History

Received: 06 June 2019

Accepted after revision: 16 June 2019

Publication Date:
22 August 2019 (online)

  

Abstract

Fulminant hepatic failure as initial presentation due to diffuse parenchymal infiltration by cholangiocarcinoma is a rare entity. We present the case of a 49-year-old female patient who had a fatal outcome with acute liver failure due to diffuse intrahepatic cholangiocarcinoma. No definite mass lesion was identified on cross-sectional imaging. The final diagnosis was made on transjugular liver biopsy. This discussion highlights the possibility of infiltrative cholangiocarcinoma as a rare cause of fulminant hepatic failure.