CASE 715: INTRAHEPATIC CHOLANGIOCARCINOMA, Dr PHAN THANH HẢI, Dr VÕ THỊ PHƯƠNG TRINH, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 A 42 year-old woman without jaundice came to check-up. Her prior history noted managed thyroid cancer for 5 years and detected intrahepatic biliary dilatation 2 years before but the cause still unknown.

Ultrasound revealed  a hyperechoic mass at the hepatic hilus on normal hepatic bed.

MSCT  and MRI confirmed right intrahepatic dilatation and MRI noted cholangiocarcinoma.

Open surgery was done to remove gallbladder, V-VI subsegment of liver, connecting right hepatic duct to small  bowel [Roux-en-Y hepaticojejunostomy].

Microscopic result is cholangiocarcinoma invasive and chronic cholecystitis.