Increased serum CA19-9 in patients with xanthogranulomatous cholecystitis
Adachi, Y.; Iso, Y.; Moriyama, M.; Kasai, T.; Hashimoto, H.
Hepato-Gastroenterology 45(19): 77-80
1998
ISSN/ISBN: 0172-6390 PMID: 9496491 Document Number: 1034
We present three cases of xanthogranulomatous cholecystitis (XGC) with an increased serum carbohydrate antigen 19-9 (CA19-9). All of the patients were elderly females and had gallstones lodged in the neck of the gallbladder. Preoperative serum CA19-9 levels were 709 U/ml, 87 U/ml, and 400 U/ml, respectively. A cholecystectomy with or without bile duct exploration was performed, and the histological diagnosis of XGC was made. Serum CA19-9 levels fell to normal levels in two patients who recovered uneventfully, but rose again in one patient who died of cholangitis. Clinicians must remember that XGC is a possible cause of increased serum CA19-9 levels.
Document emailed within 1 workday
