TY - JOUR
T1 - Extremely elevated CA19-9 in acute cholangitis
AU - Sheen-Chen, Shyr Ming
AU - Sun, Cheuk Kwan
AU - Liu, Yei Wei
AU - Eng, Hock Liew
AU - Ko, Sheung Fat
AU - Kuo, Chung Huang
PY - 2007/11/1
Y1 - 2007/11/1
N2 - 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.
AB - 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.
KW - Acute cholangitis
KW - CA19-9
UR - http://www.scopus.com/inward/record.url?scp=34848856768&partnerID=8YFLogxK
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U2 - 10.1007/s10620-006-9164-7
DO - 10.1007/s10620-006-9164-7
M3 - Article
C2 - 17404889
AN - SCOPUS:34848856768
SN - 0163-2116
VL - 52
SP - 3140
EP - 3142
JO - Digestive Diseases and Sciences
JF - Digestive Diseases and Sciences
IS - 11
ER -