A Case of Common Bile Duct Stone with Cholangitis Presenting an Extraordinarily High Serum CA19-9 Value.

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概要

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• A 63-year-old male complainined of right upper abdominal pain and jaundice. Laboratory data on admission showed hyperbilirubinemia, elevation of biliary enzymes and an extraordinarily high value of serum CA19-9 (60, 000 U/ml). Diagnostic imaging modalities including abdominal ultrasonogram, abdominal CT and PTC suggested a stone impaction of the common bile duct. Jaundice subsided after PTC-drainage in association with decreasing serum CA19-9 value, which returned to the normal level six weeks later. Spontaneous delivery of the stone via the fistula was confirmed by cholangiography through the drainage tube. Though there are few reports of such a high serum CA19-9 level, the possibility of benign biliary tract disease should be considered in patients showing an extraordinarily high serum CA19-9 value.(Internal Medicine 31 : 516-520, 1992)

• 社団法人　日本内科学会の論文

著者

• HARADA Takashi

  the Second Department of Internal Medicine, Dokkyo University School of Medicine

関連論文

• Acute Tubular Necrosis with Loin Pain and Persistent Multiple Wedge-Shaped Contrast Enhancement on CT.
• A Case of Common Bile Duct Stone with Cholangitis Presenting an Extraordinarily High Serum CA19-9 Value.

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