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April 12, 2026JBJS Case Connector

Metastatic Cholangiocarcinoma Presenting With Chronic Hip Pain

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Authors

DVDries VerbekeIGIne GoethalsJOJohn Van Overschelde

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Overview

A case report shows acetabular metastasis in a patient with chronic hip pain, indicating diagnostic challenges.

Key Points

  • This case aims to highlight the presentation of metastatic cholangiocarcinoma as hip pain and the importance of advanced imaging.
  • Patient presented with chronic right hip pain
  • Initial radiographs and CT scans were negative
  • MRI revealed extensive bone marrow oedema
  • Elevated serum CA 19-9 levels prompted further investigation
  • Identification of intrahepatic cholangiocarcinoma with acetabular metastasis
  • Emphasis on the necessity of advanced imaging for persistent, unexplained bone pain
  • Illustration of how bone lesions can be missed on standard imaging

Cite This Study

Verbeke et al. (2026) studied this question.

synapsesocial.com/papers/69db37df4fe01fead37c5f3chttps://doi.org/10.2106/jbjs.cc.25.00632
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