Episode 118.0 – Acute Cholangitis

Part II of II on gallbladder disorders finishing up with acute cholangitis.

October 23rd, 2017 Download Leave a Comment Tags: , , ,

Show Notes

Take Home Points

  • Cholangitis is an acute bacterial infection of the bile ducts resulting from common bile duct obstruction and is potentially life-threatening (mortality 5-10%, acute bacterial infection of the bile ducts
  • Diagnosis is based on clinical findings and while imaging can be supportive, it is frequently non-diagnostic. Look for RUQ tenderness with peritoneal signs and fever
  • A normal ultrasound does not rule out acute cholangitis
  • Treatment focuses on supportive care, broad spectrum antibiotics and consultation with a provider that can provide biliary tract decompression (IR, gastroenterology or general surgery)

Read More

Radiopaedia: Acute cholangitis

Core EM: Cholangitis

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