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Intrahepatic Cholangiocarcinoma Masquerading as Liver Abscess: A Case Report With Multimodal Imaging
Chunxiao Song1, Yang Xu2, Yuanyuan Zhang1
1Emergency Department The Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou China.
Clinical Case Reports
|December 8, 2025
Abstract:
The presentation of intrahepatic cholangiocarcinoma (ICC) often masquerades as a pyogenic liver abscess. Therefore, atypical imaging features on multimodal studies, together with markedly elevated levels of Gamma-glutamyl Transpeptidase (GGT), Alkaline Phosphatase (ALP) and Carbohydrate antigen 19-9 (CA19-9), must alert clinicians to the possibility of underlying malignancy to prevent diagnostic delay.

