ascending cholangitis


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chol·an·gi·tis len·ta

low-grade bacterial infection of the biliary tract; sometimes causes fever of unknown origin.

ascending cholangitis

Acute bile duct inflammation.
Clinical findings Right upper quadrant pain that may radiate to the shoulder, variable severity, nausea, vomiting, constipation, episodic chills, fever, slow pulse, Murphy sign, anorexia, weight loss; spontaneous remission is rare.
Aetiology Stricture or obstruction of bile ducts, infection, pancreatic reflux, drugs, chemicals.
Lab Increased white cells (especially neutrophils), increased bilirubin, urobilinogen in urine.
Management Cholecystectomy.
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References in periodicals archive ?
He underwent a laboratory test and was found to have an anemia, ascending cholangitis and possible reactive Hepatitis B.
viverrini infection can induce poor emptying of the gallbladder, resulting in cholestasis, ascending cholangitis, and accelerated stone formation.
Moreover, up to 20% of these patients present simultaneously common bile duct stones (CBDS) which can lead to many severe life-threatening conditions, such as acute pancreatitis, jaundice, ascending cholangitis, and hepatic abscesses [1, 2].
The findings were felt to be consistent with cholecystitis and ascending cholangitis and the patient was commenced on broad-spectrum antibiotics.
Following Kasai portoenterostomy, a series of modified Kasai's procedures to increase bile drainage, irrigate the hepatic hilum and to prevent ascending cholangitis were subsequently attempted.
This finding is in similar to study done by Carvalho et al (7) who noted ascending cholangitis in 40-60% patient.
At 6th month (3rd visit), MRCP was performed in to look for the patency of bilioenteric anastomosis in patients where abdominal US showed biliary dilatation or there were more than one attack of ascending cholangitis.
Effectiveness of an intussusceptive antireflux valve to prevent ascending cholangitis after hepatic portojejunostomy in biliary atresia.
A 66-year-old male initially presented in 2002 with ascending cholangitis and was found to have intrahepatic biliary duct dilatation consistent with Caroli's disease.
Organisms may reach the liver either from the biliary tree (ie, secondary to ascending cholangitis), hematogenously, or because of superinfection of necrotic tissue.
Her picture confused me, so I consulted a colleague and decided to start broad antibiotic coverage for ascending cholangitis. I returned home for a worried night's sleep with her husband's question echoing in my dreams.
Proper case management is very important as prolonged biliary duct obstruction can lead to the development of ascending cholangitis or later on secondary biliary cirrhosis.

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