A Case of Ischemic Colitis Associated With Abnormally Elevated Serum Level of Cea

Yoshihito Furukita; Kazuhisa OHNISHI; Nobuyuki Tanida; Noriaki Fujishima; Nobumasa Hamaguchi; N Kaihotsu

doi:10.3919/jjsa.71.449

January 1, 2010Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)Open Access

A Case of Ischemic Colitis Associated With Abnormally Elevated Serum Level of Cea

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Key Points

Describe a clinical presentation of necrotic ischemic colitis causing a profound, transient increase in serum carcinoembryonic antigen levels.
Clinical evaluation, abdominal computed tomography, and emergency medical management in an 88-year-old female presenting with acute abdominal pain.
Emergency surgical exploration, left hemicolectomy, colostomy creation, and postoperative longitudinal monitoring of serum carcinoembryonic antigen levels.
Exploratory laparotomy revealed extensive transmural necrosis spanning the descending to sigmoid colon without gallbladder inflammation, confirming gangrenous ischemic colitis.
Preoperative serum carcinoembryonic antigen was markedly elevated at 361.7 ng/ml and normalized to 2.4 ng/ml by postoperative day 13 following bowel resection, leading to discharge on day 21.

Implication

Case report reveals severe transient serum carcinoembryonic antigen elevation in an elderly ischemic colitis patient, highlighting non-malignant triggers of extreme tumor marker surges.

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Furukita et al. (2010) studied this question.

synapsesocial.com/papers/6a8c6d04fd8ef3be97d9346c https://doi.org/10.3919/jjsa.71.449

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A Case of Ischemic Colitis Associated With Abnormally Elevated Serum Level of Cea

Key Points

Implication

Discussion

Cite This Study

A Case of Ischemic Colitis Associated With Abnormally Elevated Serum Level of Cea

Key Points

Implication

Discussion

Cite This Study

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