論文

国際誌
2021年

Missed Diagnosis of Cholangiocarcinoma Presenting with Atypical Symptoms.

European journal of case reports in internal medicine
  • Ren Kawamura
  • ,
  • Yukinori Harada
  • ,
  • Taro Shimizu

8
1
開始ページ
002207
終了ページ
002207
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.12890/2021_002207

We report a case of delayed diagnosis of cholangiocarcinoma. A 62-year-old man developed acute abdominal pain in multiple sites. As the distribution pattern of the abdominal pain was not correctly interpreted based on the mechanisms of visceral and referred pain, the patient was not investigated with the best diagnostic test at first presentation. Moreover, miscommunication between physicians in a clinic and separate hospital delayed diagnosis. For prompt diagnosis, physicians should be practice careful reasoning and focus on good communication with physicians outside their hospital. LEARNING POINTS: Abdominal pain without jaundice can be an initial symptom in patients with cholangiocarcinoma.Cholangiocarcinoma in the lower common bile duct can present as lower abdominal pain referred through the 7th-11th thoracic nerves.Physicians can determine the origin of abdominal pain through correct interpretation of the distribution pattern of abdominal pain based on knowledge of pathophysiology.

リンク情報
DOI
https://doi.org/10.12890/2021_002207
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33585340
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7875580
ID情報
  • DOI : 10.12890/2021_002207
  • PubMed ID : 33585340
  • PubMed Central 記事ID : PMC7875580

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