| Title | Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report. | | Author(s) | Marcouizos G, Ignatiadou E, Papanikolaou GE, Ziogas D, Fatouros M | | Institution | Department of Surgery, University Hospital of Ioannina, School of Medicine Ioannina Greece. | | Source | Cases J 2009.:6662. | | Abstract | We present a case of a 79-year-old woman admitted to our hospital with pain in the right upper abdominal quadrate radiated to the back, jaundice, fever and chills. The laboratory tests showed serum carbohydrate antigen 19-9 levels of 99.070 U/ml (normal values: 0-37 U/ml). The rest of the biochemistry showed alkaline phosphatase of 550 IU/l, direct bilirubin: 17.5 mg/dl, total bilirubin: 28.4 mg/dl. Abdominal sonography demonstrated dilated common bile duct. Two weeks postoperatively, the carbohydrate antigen 19-9 fell to 970 U/ml and returned within normal range (31 U/ml) two months later. Furthermore, the magnetic resonance cholangiopancreatography performed postoperatively demonstrated normal configuration of the biliary tree and the common bile duct. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19829841 |
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