Malignancy masquerading as liver abscess, and presenting with fever, is mainly described in patients with colorectal cancers with liver metastasis. Primary liver tumors such as hepatocellular carcinoma or intrahepatic cholangiocarcinoma presenting as non-resolving liver abscess is extremely uncommon and carries a dismal prognosis. We present a rare case of non-resolving liver abscess as a presenting manifestation of intrahepatic cholangiocarcinoma.
Keywords: AFP, alphafetoprotein; ALT, alanine aminotransferase; AST, aspartate aminotransferase; CA 19-9, cancer antigen 19-9; CEA, carcinoembryonic antigen; CECT, contrast enhanced computerized tomography; CK, cytokeratin; CT, computerized tomography; ESR, erythrocyte sedimentation rate; FDG, fludeoxyglucose; FNAC, fine needle aspiration cytology; GGT, gamma-glutamyl transpeptidase; HBV, hepatitis B virus; HCC, hepatocellular carcinoma; HCV, hepatitis C virus; HIV, human immunodeficiency virus; Hb, hemoglobin; IU, international units; IVC, inferior vena cava; PET, positron emission tomography; RHV, right hepatic vein; SAP, serum alkaline phosphatase; UGI, upper gastrointestinal; USG, ultrasonography; WBC, white blood count; cholangicarcinoma; hepatocellular carcinoma; liver abscess; liver cancer; liver tumor.