Missed Diagnosis of Cholangiocarcinoma Presenting with Atypical Symptoms
KeywordsCholangiocarcinoma, visceral pain, referred pain
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.
Issue: Vol 8 No 1 (view)