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Medline ® Abstract for Reference 60

of 'Clinical manifestations, diagnosis, and staging of exocrine pancreatic cancer'

Highly elevated serum levels of CA 19-9 in choledocholithiasis: a case report.
Marcouizos G, Ignatiadou E, Papanikolaou GE, Ziogas D, Fatouros M
Cases J. 2009;2:6662. Epub 2009 Jul 30.
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.
Department of Surgery, University Hospital of Ioannina, School of Medicine Ioannina Greece. gmarcouizos@freemail.gr