Acute Cholangitis

Acute bile duct inflammation
Aetiology Stricture or obstruction of bile ducts, infection, pancreatic reflux, drugs, chemicals
Clinical findings Right upper quadrant pain of varying severity which may radiate to the shoulder, nausea, vomiting, constipation, episodic chills, fever, slow pulse, Murphy sign, anorexia, weight loss; spontaneous remission is rare.
Lab Increased leukocytes—especially neutrophils—increased bilirubin, urobilinogen in urine.
Management Cholecystectomy

acute cholangitis

Gastroenterology Acute bile duct inflammation Etiology Stricture or obstruction of bile ducts, infection, pancreatic reflux, drugs, chemicals Clinical Right upper quadrant pain that may radiate to the shoulder, variable severity, N&V, constipation, episodic chills, fever, slow pulse, Murphy sign, anorexia, weight loss; spontaneous remission is rare Imaging ERCP, percutaneous transhepatic cholangiography Lab ↑ WBCs, ↑ BR, urobilinogen in urine Management Cholecystectomy

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cholangitis

References in periodicals archive

During the period from January 2011 to March 2017, 212 consecutive patients with mild-to-moderate acute cholangitis associated with choledocholithiasis underwent early ERCP at the Department of Gastroenterology and Hepatology of St.

Efficacy and Safety of Single-Session Endoscopic Stone Removal for Acute Cholangitis Associated with Choledocholithiasis

Takada et al., "TG13 antimicrobial therapy for acute cholangitis and cholecystitis," Journal of Hepato-Biliary-Pancreatic Sciences, vol.

Cholecystoduodenal Stenting: An Option in Complicated Acute Calculous Cholecystitis in the Elderly Comorbid Patient

Acute Cholangitis. An effective outcome was defined as a reduction in acute cholangitis-related fever and right hypochondriac pain, as well as an improvement in white blood cell count and hepatobiliary enzyme levels within 48 hours after NBD placement.

Use of 4-Fr versus 6-Fr Nasobiliary Catheter for Biliary Drainage: A Prospective, Multicenter, Randomized, Controlled Study

Acute suppurative cholangitis is a life-threatening condition characterized by the presence of pus in the biliary tree occurring in up to 60% of cases of acute cholangitis. Emergency endoscopic or percutaneous biliary drainage is necessary for decompression.

Imaging of the biliary tree: Infection, inflammation and infiltration

The reported case was presented with acute cholangitis. Before ERCP, F.

Three living Fasciola hepatica in the biliary tract of a woman

Even with prompt diagnosis and treatment acute cholangitis can lead to septicemia and complications like emphysema, gangrene, perforation and chronic cholecystitis [2].

Microflora of bile aspirates in patients with acute cholecystitis with or without cholelithiasis: a tropical experience

The manifestations of ascariasis vary and include constitutional symptoms, particularly pulmonary and gastrointestinal complaints.[3] Hepatobiliary and pancreatic ascariasis can cause 5 distinct clinical presentations: biliary colic, acalculous cholecystitis, acute cholangitis, acute pancreatitis, and hepatic abscess.[2]

A Case Report of Ascariasis of the Common Bile Duct in a Patient Who Had Undergone Cholecystectomy

There can be infection of the bile ducts (acute cholangitis) which causes chills and fever.

Gallstones and other gallbladder disorders: a national health problem

Acute cholangitis represents a major emergency due to risks of bacterial translocation and requires immediate biliary drainage to avoid severe organ damage.

Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis

Presenting symptoms were obstructive jaundice in 14 patients, colic pain in 3 patients, and acute cholangitis in one patient.

Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease

Takada et al., "Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis," Journal of Hepato-Biliary-Pancreatic Sciences, vol.

A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula

Diverse abdominal disorders can cause gas or air accumulation in the biliary tree, termed "pneumobilia." Causes include incompetent sphincter of Oddi, biliary enteric surgical anastomosis, biliary enteric fistula, acute cholangitis, cholangiography from ERCP or PTC, gallbladder infarction, hepatic abscess, or abdominal trauma [18].

Metastatic Gallbladder Melanoma Presenting as Acute Emphysematous Cholecystitis