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Marcouizos G, Ignatiadou E, Papanikolaou GE, et al. Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report. Cases J. 2009;2:6662doi: 10.4076/1757-1626-2-6662.
Marcouizos, G., Ignatiadou, E., Papanikolaou, G. E., Ziogas, D., & Fatouros, M. (2009). Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report. Cases journal, 26662. https://doi.org/10.4076/1757-1626-2-6662
Marcouizos, Georgios, et al. "Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report." Cases journal vol. 2 (2009): 6662. doi: https://doi.org/10.4076/1757-1626-2-6662
Marcouizos G, Ignatiadou E, Papanikolaou GE, Ziogas D, Fatouros M. Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report. Cases J. 2009 Jul 30;2:6662. doi: 10.4076/1757-1626-2-6662. PMID: 19829841; PMCID: PMC2740064.
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Cases J. 2009 Jul 30;2:6662. doi: 10.4076/1757-1626-2-6662.

Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report.

Cases journal

Georgios Marcouizos, Eleftheria Ignatiadou, Georgios E Papanikolaou, Dimosthenis Ziogas, Michail Fatouros

Affiliations

  1. Department of Surgery, University Hospital of Ioannina, School of Medicine Ioannina Greece. [email protected]

PMID: 19829841 PMCID: PMC2740064 DOI: 10.4076/1757-1626-2-6662

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.

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