Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 39: Elevated Serum Alkaline Phosphatase in an Asymptomatic Patient (continued)

Samuel Giday, MD

A 72-year-old Caucasian man presented to his primary care physician for a routine visit. Blood work showed abnormal liver function tests with markedly elevated alkaline phosphatase and gamma glutamyl transpeptidase (GGT) levels. He denied any history of jaundice, fever, weight loss, or pain. There was no travel history, drug or herbal medicine intake, illicit drug or alcohol use. He had no significant past medical history and reported having had a laparoscopic cholecystectomy more than 10 years prior for symptomatic gallstone disease. His appendix was removed when he was a child. Physical…
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