Elderly Man Suffers from Severe Right Upper Abdominal Pain for Six Months, Diagnosed with Intrahepatic Cholangiocarcinoma
A 72-year-old male patient experienced persistent discomfort and pain in the right upper quadrant of his abdomen for approximately six months. Over the past month, the symptoms significantly worsened, prompting him to seek medical attention. During an outpatient abdominal ultrasound, a large hepatic mass measuring about 13cm in diameter was detected. Following preliminary evaluation, the mass was suspected to be a malignant tumor of the bile duct cells within the liver.
After being admitted for further treatment, a contrast-enhanced abdominal CT scan confirmed the presence of a large tumor in the right lobe of the liver along with several smaller satellite lesions. Based on the imaging findings, the tumor was determined to be surgically resectable. The patient underwent a successful hepatectomy under general anesthesia. Postoperative pathology confirmed the diagnosis of intrahepatic cholangiocarcinoma with clear surgical margins and no residual tumor detected in the bile duct stumps.
Comprehensive Preoperative Assessment Ensures Successful Surgery
Prior to surgery, a precise evaluation was conducted to determine the feasibility of tumor removal. Advanced imaging techniques played a crucial role in confirming that the tumor could be completely resected without compromising liver function. This planning was essential in achieving a curative outcome and minimizing postoperative complications.
Effective Postoperative Care Supports Full Recovery
Following the procedure, the patient received a tailored postoperative treatment regimen including antibiotics, liver-protective agents, bile-promoting medications, and nutritional support. These interventions contributed to a smooth recovery. By the third day post-surgery, he was able to walk with assistance, and by the fourth day, he began oral intake. Within a week, he had resumed normal daily activities and was discharged after two weeks of hospitalization with complete resolution of symptoms.
Timely Diagnosis and Treatment Improve Prognosis
Intrahepatic cholangiocarcinoma is a highly aggressive form of liver cancer with a poor prognosis if not detected early. This case highlights the importance of prompt medical evaluation when experiencing persistent right upper quadrant pain or unexplained fatigue. Early diagnosis and surgical intervention significantly improved the patient's long-term outlook.
Post-Discharge Care and Follow-Up Are Essential
The patient was advised to rest and avoid strenuous activities after discharge. A protein-rich diet was recommended to support wound healing and overall recovery. One month after surgery, a follow-up visit was scheduled to monitor for potential complications such as infection, liver dysfunction, or tumor recurrence. Regular monitoring is crucial for long-term disease management.
Understanding Intrahepatic Cholangiocarcinoma
This type of cancer originates from the bile duct cells inside the liver and is known for its aggressive behavior and tendency to recur or metastasize early. Surgery remains the primary treatment, often followed by adjuvant chemotherapy. Awareness of symptoms and timely medical care are key to improving outcomes.
This case demonstrates that with early diagnosis, accurate preoperative planning, and comprehensive postoperative care, patients with intrahepatic cholangiocarcinoma can achieve favorable treatment results and improved quality of life.