Acute Cholangitis Quiz
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Fatigued
Have a fever
Upper right abdominal pain
Stomachache
Eating worsens stomach pain
Loss of appetite
Pain in the middle of the upper stomach
Not seeing your symptoms? No worries!
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 often results in a serious infection. Prompt medical treatment is crucial as it can be life-threatening.
Typical Symptoms of Acute Cholangitis
- Stomach or abdominal pain that worsens after meals
- History of bile duct infection or inflammation, i.e. cholangitis
- Stomach or abdominal pain in a specific area
- Stomach or abdominal pain that prevents deep breathing
- Fever
- Yellowish eyes or skin
- Pain in the upper right abdomen
- Having difficulty urinating or producing less urine
Diagnostic Questions for Acute Cholangitis
Your doctor may ask these questions to check for this disease:
- Do you have stomach or abdominal pain that worsens after meals?
- Have you been diagnosed with gallbladder inflammation (cholangitis) or treated with a bile duct stent?
- Do you have stomach or abdominal pain in a specific area?
- Are you experiencing stomach or abdominal pain that prevents you from taking deep breaths?
- Do you have a fever?
Treatment of Acute Cholangitis
Treatment may include antibiotics to kill the bacteria, and a procedure or surgery to remove the blockage. This may require hospitalization for a period of time.
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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- My body is hot
- Recurrent fevers
- Periodic fever (>100.4°F / 38°C)
- Fever then no fever then fever again
- Remittent fever of 102.2°F / 39°C
- Extremely high fever of 106.7°F / 41.5°C or higher
- Fever of 100.4°F / 38°C or more for weeks
- Stomach was uncomfortable, then had a fever
- Stomachache and diarrhea before a fever
- Temperature of 102.2°F / 39°C goes up and down
See full list
Symptoms Related to Acute Cholangitis
Diseases Related to Acute Cholangitis
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
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.519Gomi 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.518Lan 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.13981Miura 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.509An 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