Acute Cholangitis Quiz

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Medically Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO

Emergency department

Aiko Yoshioka

Aiko Yoshioka, MD

Gastroenterology

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Learn more about Acute cholangitis

Content updated on Jun 1, 2022

What is acute cholangitis?

Inflammation of the bile ducts near the liver. It can be caused by stones or tumors blocking the liver's drainage system. This frequently results in a serious infection. Prompt medical treatment is essential as it can be life-threatening.

Symptoms of acute cholangitis

  • Abdominal pain that worsens after meals

  • Fever

  • Right upper abdominal pain

  • Abdominal pain

  • Stomach pain or tummy ache in a specific place

  • Fatigue

  • Pain when pressing down on the abdomen

  • Upper central abdominal pain

Questions your doctor may ask to check for acute cholangitis

Your doctor may ask these questions to diagnose acute cholangitis

  • Does your stomach pain get worse when you eat?

  • Do you have a fever?

  • Do you have pain in the upper right area of your abdomen (stomach)?

  • Do you have abdominal pain (stomach ache)?

  • Do you have abdominal (stomach) pain in any particular location?

Treatment for acute cholangitis

Treatment may include antibiotics to kill the bacteria, and a procedure/surgery to remove the blockage. This may require hospitalization for a period of time.

View the symptoms of Acute cholangitis

References

  • Mayumi T, Okamoto K, Takada T, Strasberg SM, Solomkin JS, Schlossberg D, Pitt HA, Yoshida M, Gomi H, Miura F, Garden OJ, Kiriyama S, Yokoe M, Endo I, Asbun HJ, Iwashita Y, Hibi T, Umezawa A, Suzuki K, Itoi T, Hata J, Han HS, Hwang TL, Dervenis C, Asai K, Mori Y, Huang WS, Belli G, Mukai S, Jagannath P, Cherqui D, Kozaka K, Baron TH, de Santibañes E, Higuchi R, Wada K, Gouma DJ, Deziel DJ, Liau KH, Wakabayashi G, Padbury R, Jonas E, Supe AN, Singh H, Gabata T, Chan ACW, Lau WY, Fan ST, Chen MF, Ker CG, Yoon YS, Choi IS, Kim MH, Yoon DS, Kitano S, Inomata M, Hirata K, Inui K, Sumiyama Y, Yamamoto M. Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):96-100. doi: 10.1002/jhbp.519. Epub 2017 Dec 16. PMID: 29090868.

    https://onlinelibrary.wiley.com/doi/10.1002/jhbp.519

  • Gomi H, Solomkin JS, Schlossberg D, Okamoto K, Takada T, Strasberg SM, Ukai T, Endo I, Iwashita Y, Hibi T, Pitt HA, Matsunaga N, Takamori Y, Umezawa A, Asai K, Suzuki K, Han HS, Hwang TL, Mori Y, Yoon YS, Huang WS, Belli G, Dervenis C, Yokoe M, Kiriyama S, Itoi T, Jagannath P, Garden OJ, Miura F, de Santibañes E, Shikata S, Noguchi Y, Wada K, Honda G, Supe AN, Yoshida M, Mayumi T, Gouma DJ, Deziel DJ, Liau KH, Chen MF, Liu KH, Su CH, Chan ACW, Yoon DS, Choi IS, Jonas E, Chen XP, Fan ST, Ker CG, Giménez ME, Kitano S, Inomata M, Mukai S, Higuchi R, Hirata K, Inui K, Sumiyama Y, Yamamoto M. Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):3-16. doi: 10.1002/jhbp.518. Epub 2018 Jan 9. PMID: 29090866.

    https://onlinelibrary.wiley.com/doi/10.1002/jhbp.518

  • Lan Cheong Wah D, Christophi C, Muralidharan V. Acute cholangitis: current concepts. ANZ J Surg. 2017 Jul;87(7-8):554-559. doi: 10.1111/ans.13981. Epub 2017 Mar 24. PMID: 28337833.

    https://onlinelibrary.wiley.com/doi/10.1111/ans.13981

  • Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA, Gomi H, Solomkin JS, Schlossberg D, Han HS, Kim MH, Hwang TL, Chen MF, Huang WS, Kiriyama S, Itoi T, Garden OJ, Liau KH, Horiguchi A, Liu KH, Su CH, Gouma DJ, Belli G, Dervenis C, Jagannath P, Chan ACW, Lau WY, Endo I, Suzuki K, Yoon YS, de Santibañes E, Giménez ME, Jonas E, Singh H, Honda G, Asai K, Mori Y, Wada K, Higuchi R, Watanabe M, Rikiyama T, Sata N, Kano N, Umezawa A, Mukai S, Tokumura H, Hata J, Kozaka K, Iwashita Y, Hibi T, Yokoe M, Kimura T, Kitano S, Inomata M, Hirata K, Sumiyama Y, Inui K, Yamamoto M. Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):31-40. doi: 10.1002/jhbp.509. Epub 2018 Jan 8. PMID: 28941329.

    https://onlinelibrary.wiley.com/doi/10.1002/jhbp.509

  • An Z, Braseth AL, Sahar N. Acute Cholangitis: Causes, Diagnosis, and Management. Gastroenterol Clin North Am. 2021 Jun;50(2):403-414. doi: 10.1016/j.gtc.2021.02.005. Epub 2021 Apr 23. PMID: 34024448.

    https://www.sciencedirect.com/science/article/abs/pii/S0889855321000170?via%3Dihub

Medically Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO

Emergency department

Aiko Yoshioka

Aiko Yoshioka, MD

Gastroenterology

From our team of 50+ doctors

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Developed by doctors.

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