Coledocolitiasis con cáncer de hígado

Abstract

Objetive: To analyze the clinical manifestations, diagnosis and treatment of choledocholithiasis in a patient with an incidental finding of liver cancer for a timely diagnosis and proper management. Discussion: The case of a 52-year-old female patient is presented, who presents a clinical picture of abdominal pain, located in the epigastrium of mild to moderate intensity that radiates to the right hypochondrium, colic type, accompanied by choluria, laboratory tests are performed and image reaching the diagnosis of choledocholithiasis that following the ASGE criteria there are 2 very strong criteria that indicate the performance of ERCP, during the procedure the patient presents cardiorespiratory arrest so he is admitted to the ICU where he presents multiple complications and several laboratory and imaging studies are performed obtaining the diagnosis of cholangiocarcinoma in metastatic stage, reason for which he presents multiorgan failure, reason for which he dies. Conclusions: Materials and methods: After the analysis of the clinical case and the bibliography it is concluded, the ASGE criteria for choledocholithiasis are not totally effective for the diagnosis and management of this pathology since, as in the present case, there was a basic pathology that was cholangiocarcinoma that could have been detected by means of other diagnostic imaging methods since this pathology generally presents symptoms in late stages, for which other methods are currently being studied so that this pathology can be diagnosed early.