A case of autoimmune hepatitis diagnosed with elevated value of CA125, ascites, metrorrhagia

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  • Jomen Wataru
    Department of Internal Medicine, Oshu City General Mizusawa Hospital
  • Okutsu Rie
    Department of Gynecology, Oshu City General Mizusawa Hospital
  • Masuda Tomoyuki
    Department of Pathology, Iwate Medical University

Bibliographic Information

Other Title
  • CA125高値と腹水と不正出血を契機に診断された自己免疫性肝炎の一例
  • 症例報告 CA125高値と腹水と不正出血を契機に診断された自己免疫性肝炎の一例
  • ショウレイ ホウコク CA125 タカネ ト フクスイ ト フセイ シュッケツ オ ケイキ ニ シンダン サレタ ジコ メンエキセイ カンエン ノ イチレイ

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<p>A 60-year-old woman, who had seen in a previous hospital with chief complaints of general malaise, abdominal bloating, weight gain, and metrorrhagia in August 201X, was referred to our hospital because of large ascites and elevated value of CA125. CT and transvaginal ultrasound imaging of gynecologic malignancy and ascitic fluid cytology were all negative. Her liver function had been impaired since the initial visit, but elevated level of ANA and IgG were observed after hospitalization. Histological changes obtained from liver biopsy, which was done after the management of ascites, were consistent with those of autoimmune hepatitis and cirrhosis. After treatment, CT showed ascites had disappeared in January 201X+1, and CA125 was reduced to normal level in May 201X+1.</p>

Journal

  • Kanzo

    Kanzo 59 (1), 41-46, 2018

    The Japan Society of Hepatology

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