Missed Diagnosis of Cholangiocarcinoma Presenting with Atypical Symptoms

  • Ren Kawamura Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Yukinori Harada Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Taro Shimizu Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan

Keywords

Cholangiocarcinoma, visceral pain, referred pain

Abstract

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.

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  • Published: 2021-01-26

    Issue: Vol 8 No 1 (view)

    Section: Articles

    How to cite:
    1.
    Kawamura R, Harada Y, Shimizu T. Missed Diagnosis of Cholangiocarcinoma Presenting with Atypical Symptoms . EJCRIM 2021;8 doi:10.12890/2021_002207.