Extremely Elevated CA19-9 in Acute Cholangitis

被引：0
|
作者：
Shyr-Ming Sheen-Chen
Cheuk-Kwan Sun
Yei-Wei Liu
Hock-Liew Eng
Sheung-Fat Ko
Chung-Huang Kuo
机构：
[1] Chang Gung Memorial Hospital,Department of Surgery
[2] Kaohsiung,Department of Pathology, Chang Gung Memorial Hospital, Kaohsiung, College of Medicine
[3] Chang Gung University,Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, College of Medicine
[4] Chang Gung University,Department of Gastroenterology, Chang Gung Memorial Hospital, Kaohsiung, College of Medicine
[5] Chang Gung University,undefined
来源：
Digestive Diseases and Sciences | 2007年 / 52卷
关键词：
CA19-9; Acute cholangitis;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
A 68-year-old women was admitted with the chief complaints of epigastralgia with radiation to the back and jaundice. Fever and chills were also noted. The laboratory data showed alkaline phosphatase, 245 U/L (normal range: 28–94); Direct Bilirubin, 5.29 mg% (0–0.4); Total Bilirubin, 8.4 mg% (0.2–1.4). Surprisingly, the serum CA19-9 was 5673.8 U/ml (normal value: <37). Abdominal sonography showed dilated common hepatic duct. MRCP demonstrated diffuse biliary tree dilatation with a very low signal intensity in distal common bile duct. Surgical intervention reveled a black stone at distal common bile duct and was successfully retrieved. After operation, the CA19-9 fell to 63.1 u/ml two weeks later and returned to normal (10.4 U/ml) one month later.
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页码：3140 / 3142
页数：2
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