Case report reveals imaging features indicating intrahepatic cholangiocarcinoma in patients misdiagnosed with pyogenic liver abscess, suggesting the need for careful evaluation.
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.
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Song et al. (2025) studied this question.
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