Objective: To analyze the cases of intrahepatic cholangiocarcinoma posthumous diagnosis in patients with concomitant atherosclerotic lesions of the femoral arteries. Key points: The present report describes the clinical observation of a rare tumor - intrahepatic cholangiocarcinoma. Difficulties of its early diagnosis is a combination of symptoms of tumor progression with pain in the lumbar spine, the latter in the presence of concomitant femoral arteries of atherosclerotic lesions, characterized by pain similar localization has led to delay cancer research.
Conclusion: Upgrading differential diagnostic procedures with a combination of pain in the lumbar spine with symptoms of tumor progression through the use of a computer and / or positron emission tomography study of plasma levels onkomarkёra CA-19-9, magnetic resonance contrast holangiopankreatikografii, would in this clinical case in a timely manner to make the correct diagnosis.