acute cholangitis

(redirected from Suppurative Cholangitis)

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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References in periodicals archive ?
Less common infections such as acute suppurative cholangitis, recurrent pyogenic cholangitis, infestation with parasitic organisms and biliary tract infections affecting immunocompromised individuals may have similar presenting features, but they tend to occur in specific patient groups.
A number of life-threatening complications can result from acute cholangitis including: sepsis leading to multiorgan failure, hepatic abscesses, acute suppurative cholangitis, portal vein thrombosis and biliary peritonitis.
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.
Those patients with hepatolithiasis, CBD diameter less than 12mm, who had h/o acute pancreatitis and suppurative cholangitis in the past were excluded from the study.
Hepatolithiasis can be complicated by superimposed bacterial infection and suppurative cholangitis.
To prevent immediate and late sequelae of hepatolithiasis, such as suppurative cholangitis, septicemia, secondary common bile duct stones and cholangiocarcinoma9, aggressive treatment is needed.
Acute suppurative cholangitis due to common bile duct stones is a life-threatening condition that requires immediate biliary drainage; endoscopic biliary drainage is associated with a lower morbidity and mortality rate than surgery in this setting (9).