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Acute Cholangitis

  • Joel VanderVelde
  • Ross F. GoldbergEmail author
Chapter

Abstract

Acute cholangitis presents classically with fever, jaundice, and right upper quadrant pain. Initial management should start with resuscitation with intravenous fluids and initiation of broad-spectrum antibiotics. The treatment is drainage of the biliary tree. The location of the biliary obstruction within the biliary tree should be ascertained as this may dictate management whether by endoscopic retrograde cholangiopancreatography (ERCP) for proximal obstruction or percutaneous transhepatic cholangiography (PTC) for distal obstruction. If these methods are unsuccessful, then open biliary drainage should be undertaken.

Keywords

Acute cholangitis Charcot’s triad Reynold’s pentad ERCP PTC Choledochotomy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryMaricopa Integrated Health SystemPhoenixUSA
  2. 2.Creighton University School of MedicinePhoenixUSA
  3. 3.University of Arizona College of Medicine – PhoenixPhoenixUSA

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