Ascending Cholangitis (also called acute cholangitis or simply “cholangitis”) refers to an infection (and of course inflammation) of the bile duct.
WHAT CASUES IT?
Given its name (ascending) most commonly bacteria ascending from the duodenum (into the biliary tree) are responsible for causing this condition. This can be secondary to iatrogenic manipulation of the biliary ducts, or a gallstone in the biliary ducts.
WHAT MAKES US SUSPECT IT?
- Fever can be present given this is an infectious process
- Scleral icterus
- Abdominal tenderness: can commonly be in the right upper quadrant.
Complete Blood Count:
- Elevated white count is often present (given infectious process)
Liver Function Tests:
- Elevated bilirubin can be present
- Elevated alkaline phosphatase
Bile cultures can be positive in many patients.
Magnetic Resonance Cholangiography
HOW DO WE TREAT IT?
ARCHIVE OF STANDARDIZED EXAM QUESTIONS
This archive compiles standardized exam questions that relate to this topic.
Page Updated: 01.22.2017