Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
A Case of Common Bile Duct Stone with Cholangitis Presenting an Extraordinarily High Serum CA19-9 Value
Toshimitsu MUROHISAHitoshi SUGAYAIsando TETSUKATakuji SUZUKITakashi HARADA
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JOURNAL FREE ACCESS

1992 Volume 31 Issue 4 Pages 516-520

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Abstract

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)

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