title: Unusual presentation of a distal cholangiocarcinoma.
abstract: We report a case of a 51-year-old male presented with abdominal pain and itching, whereas jaundice occurred afterwards. Diagnosis was made by means of CT and better assessed by MRI and endoscopic ultrasounds. Patient was treated with an open Whipple's procedure, and after an 18-month follow-up he was doing well.
authors.affiliation: Department of Human Pathology University Hospital of Messina Via Consolare Valeria, 1 98100 Messina Italy.
authors.forename: Fausto
authors.identifier: 0000-0002-9017-1991
authors.initials: F
authors.lastname: Fama'
authors.affiliation: Department of General, Endocrine and Thoracic Surgery Regional Hospital of Orleans 14 Avenue de l'Hôpital 45067 Orléans (Cedex 2) France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Piquard
authors.affiliation: Department of Human Pathology University Hospital of Messina Via Consolare Valeria, 1 98100 Messina Italy.
authors.forename: Jessica
authors.initials: J
authors.lastname: Pallela
authors.affiliation: Department of Human Pathology University Hospital of Messina Via Consolare Valeria, 1 98100 Messina Italy.
authors.forename: Dario
authors.initials: D
authors.lastname: Lo Presti
authors.affiliation: Department of General, Endocrine and Thoracic Surgery Regional Hospital of Orleans 14 Avenue de l'Hôpital 45067 Orléans (Cedex 2) France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Saint-Marc
authors.affiliation: Department of Human Pathology University Hospital of Messina Via Consolare Valeria, 1 98100 Messina Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Gioffre'-Florio
keywords: Abdominal pain; distal cholangiocarcinoma; extrahepatic; itching