Kolangitis Akut dengan Komplikasi Perdarahan Saluran Cerna Bagian Atas dan Peningkatan Ca 19-9: Laporan Kasus
DOI:
https://doi.org/10.35790/msj.v1i1.26624Abstract
Abstract: We reported a case of cholangitis in a 64-year-old-female associated with upper gastrointestinal bleeding. Diagnosis was confirmed by anamnesis, physical examination, and supportive investigation. This patient had a significant elevation of Ca 19-9 which often used to mark malignancy, especially in the pancreatic cancer. Albeit, in investigation we only found the obstruction of common bile duct stones. This case illustrates the fact that a markedly elevated CA 19-9 can be secondary to causes other than carcinoma.
Keywords: cholangitis, Ca 19-9
Abstrak: Telah dilaporkan sebuah kasus kolangitis pada seorang perempuan berusia 64 tahun, yang juga mengalami komplikasi berupa perdarahan saluran cerna bagian atas. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Pasien ini mengalami peningkatan bermakna Ca 19-9 yang sering digunakan untuk menandai adanya penyakit keganasan terutama kanker pankreas, namun pada pemeriksaan penunjang hanya didapatkan adanya batu di duktus koledokus. Kasus ini mengilustrasikan fakta bahwa peningkatan bermakna CA 19-9 secara sekunder dapat disebabkan oleh sebab-sebab lain selain karsinoma.
Kata kunci: kolangitis, Ca 19-9
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