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Korean J Pancreas Biliary Tract > Volume 18(4):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(4):55-59. doi: https://doi.org/10.15279/kpba.2013.18.4.55
급성 간염으로 오인된 담관염 1예
김미희1, 김은정1, 강진구1, 이지운1, 양보경1, 김형수1, 이진헌1, 김주섭2
한림대학교 의과대학 내과학교실, 2외과학교실"
A case of cholangitis misdiagnosed as acute hepatitis
Mi Hee Kim1, Eun Jung Kim1, Jin Gu Kang1, Ji Un Lee1, Bo Kyung Yang1, Hyoung Su Kim1, Jin Heon Lee1, Joo Seop Kim2
1Department of Internal Medicine and 2Surgery, Hallym University College of Medicine,Seoul, Korea
Choledocholithiasis usually reveals cholestatic features in liver function test. Alkaline phosphatase(ALP) and gamma glutamyl transferase(γ-GTP) level usually elevates out of portion to aspartate aminotransferase (AST) and alanine aminotransferase (ALT) in bile duct obstruction. However, marked elevation of AST and ALT levels over 1,000 IU/L with normal range of ALP has been rarely reported in patients with choledocholithiasis. This could be confused initially, as acute hepatitis due to viral, toxic or ischemic origins. We report a case of 48-year-old man with choledocholithiasis, misdiagnosed as acute hepatitis due to initial result of unusual liver function test.
Keywords: choledocoholithiasis; acute hepatitis; aminotransferase
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