An 80-year-old woman presented with abdominal pain and fever of 3 weeks’ duration. She had experienced
several similar episodes during the previous 20 years. Physical examination revealed
tenderness in the epigastrium. Blood tests showed leukocytosis (12.5 × 103/μL) and increases in alkaline phosphatase (2097 IU/L), γ-glutamyl transpeptidase
(820 IU/L), aspartate aminotransferase (152 IU/L), alanine aminotransferase (141 IU/L),
and total bilirubin (3.0 mg/dL). The serum CA19-9 level was elevated to 471.4 U/mL;
carcinoembryonic antigen and α-fetoprotein levels were normal.
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Article info
Publication history
Accepted:
December 7,
2004
Identification
Copyright
© 2006 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
