PDF(Pubmed)
Abstract：
An 80-year-old man with jaundice and fatigue was referred to our hospital. A laboratory examination revealed increased levels of hepatobiliary enzymes, and CA19-9 levels increased to 29,512 U/mL. Based on the findings of imaging examination and laboratory data, the patient was diagnosed with acute cholecystitis and choledocholithiasis. The possibility of malignancy could not be ruled out because of the high levels of CA19-9. Antibiotic administration was commenced, and the common bile duct stone was endoscopically removed. One month after treatment, the CA19-9 level decreased to within the normal range. One year after treatment, imaging examinations did not reveal any malignancy.
摘要：
一名患有黄疸和疲劳的80岁男子被转诊到我们医院。实验室检查显示肝胆酶水平升高，CA19-9水平增加到29,512U/mL。根据影像学检查和实验室数据的发现，患者被诊断为急性胆囊炎和胆总管结石。由于CA19-9的高水平，不能排除恶性肿瘤的可能性。开始服用抗生素，内镜下切除胆总管结石。治疗后一个月，CA19-9水平下降到正常范围内。治疗一年后,影像学检查未发现任何恶性肿瘤.
