A case of cholangitis misdiagnosed as acute hepatitis

Kim, Mi Hee; Kim, Eun Jung; Kang, Jin Gu; Lee, Ji Un; Yang, Bo Kyung; Kim, Hyoung Su; Lee, Jin Heon; Kim, Joo Seop

doi:2013.18.4.55

Korean J Pancreas Biliary Tract > Volume 18(4):2013 > Article

Case Reports

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

ABSTRACT

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