Part II of II on gallbladder disorders finishing up with acute cholangitis.
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Show Notes
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)
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Radiopaedia: Acute cholangitis
Core EM: Cholangitis
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