Intrahepatic Cholangiocarcinoma Masquerading as Acute Fatty Liver of Pregnancy: A Case Report and Review of the Literature
Joint Authors
Qasrawi, Ayman
Abu Ghanimeh, Mouhanna
Abughanimeh, Omar
Yousef, Osama
Arora-Elder, Simran
Tamimi, Tarek
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Cholangiocarcinoma (CCA) is an uncommon cancer and accounts only for 3% of all gastrointestinal malignancies.
In this report, we present a case of an intrahepatic cholangiocarcinoma masquerading as acute fatty liver of pregnancy (AFLP).
A 38-year-old female who is 36-week pregnant presented with a 1-week history of headache, nausea, vomiting, and right upper abdominal pain, along with hepatomegaly.
Laboratory investigations were remarkable for mild leukocytosis, hyperbilirubinemia, proteinuria, and elevated transaminases and prothrombin time.
Ultrasound of the liver revealed hepatomegaly, fatty infiltration, and a right hepatic lobe mass.
Based on the overall picture, AFLP was suspected, and the patient underwent delivery by Cesarean section.
However, bilirubin and liver enzyme levels gradually increased after delivery.
MRI revealed a large dominant hepatic mass along with multiple satellite lesions in both lobes.
Biopsy revealed the presence of intrahepatic CCA.
CCA presenting during pregnancy is extremely rare with only 9 other cases reported in the literature.
Therefore, the signs and symptoms can be easily confused with other more common disorders that occur during pregnancy.
American Psychological Association (APA)
Qasrawi, Ayman& Abughanimeh, Omar& Abu Ghanimeh, Mouhanna& Arora-Elder, Simran& Yousef, Osama& Tamimi, Tarek. 2018. Intrahepatic Cholangiocarcinoma Masquerading as Acute Fatty Liver of Pregnancy: A Case Report and Review of the Literature. Case Reports in Hepatology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1144256
Modern Language Association (MLA)
Qasrawi, Ayman…[et al.]. Intrahepatic Cholangiocarcinoma Masquerading as Acute Fatty Liver of Pregnancy: A Case Report and Review of the Literature. Case Reports in Hepatology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1144256
American Medical Association (AMA)
Qasrawi, Ayman& Abughanimeh, Omar& Abu Ghanimeh, Mouhanna& Arora-Elder, Simran& Yousef, Osama& Tamimi, Tarek. Intrahepatic Cholangiocarcinoma Masquerading as Acute Fatty Liver of Pregnancy: A Case Report and Review of the Literature. Case Reports in Hepatology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1144256
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144256