acute cholangitis


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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 ?
The clinical manifestations of parasitic infections are variable and can mimic bacterial acute cholangitis.
The current study was undertaken to determine the spectrum of biliary microflora with special emphasis on enteric fever organisms in patients with acute cholangitis with or without cholelithiasis or other biliary diseases.
6, 7, 8]; patients with no history of previous biliary surgery; patients with no evidence of papillary stenosis or retained stones (confirmed by palpation, saline irrigation and bougie incorporation); no evidence of acute pancreatitis and acute cholangitis were other criteria's to select the cases.
The significance of biliary pressure in acute cholangitis.
1) Group II: placebo 30 min clinically significant before ERCP (N=281) reduction in the incidence Inclusion criteria: of acute cholangitis after suspected biliary tract ERCP stones, or distal CBD stricture Byl et Group I: piperacillin 4 g Antimicrobial prophylaxis al.
It relieves obstruction, improves the general condition in the settling of acute cholangitis with a much lower mortality.

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