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2.1
Recurrent Pyogenic Cholangitis
Oriental Cholangiohepatitis

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WIKIDATA, CC BY-SA 3.0

Presentation

The first description of recurrent pyogenic cholangitis occurring in four occidentals is presented. [ncbi.nlm.nih.gov]

Entire Body System

  • Fever

    When performed in 18 patients in the acute phase for persistent fever inexplicable by ultrasonography and cholangiography, CT scans identified the cause of sepsis to be liver abscesses (n = 7), impacted stones in left lateral segments (n = 3) and right [ncbi.nlm.nih.gov]

    This condition is characterized by Charcot's intermittent biliary fever [doi.org]

  • Wound Infection

    Most of the complications were wound infections. No mortality related to surgery occurred. [ncbi.nlm.nih.gov]

  • Chills

    The common clinical features of the two groups were fever, chill, and right upper quadrant pain. Patients without RPC tended to have more respiratory symptoms and signs. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Recurrent Abdominal Pain

    Recurrent pyogenic cholangitis manifesting as segmental atrophy in a 65-year-old woman with recurrent abdominal pain. [doi.org]

  • Right Upper Quadrant Pain

    The common clinical features of the two groups were fever, chill, and right upper quadrant pain. Patients without RPC tended to have more respiratory symptoms and signs. [ncbi.nlm.nih.gov]

  • Recurrent Epigastric Pain

    A 43-years-old woman was presented with sepsis that had a history of recurrent epigastric pain and fever attacks. Her liver tests were unremarkable suggesting any hepatobiliary diseases. [ncbi.nlm.nih.gov]

  • Epigastric Pain

    A 43-years-old woman was presented with sepsis that had a history of recurrent epigastric pain and fever attacks. Her liver tests were unremarkable suggesting any hepatobiliary diseases. [ncbi.nlm.nih.gov]

Liver, Gall & Pancreas

  • Jaundice

    Positive symptoms include biliary colic, acute pancreatitis, obstructive jaundice and less commonly, liver enlargment and abnormal liver function tests. [en.wikipedia.org]

    A 26-year-old male presented with jaundice and recurrent cholangitis. Ultrasonography revealed dilated intra- and extrahepatic biliary tree packed with multiple calculi. [ncbi.nlm.nih.gov]

    Volume 157, Number 1 Citation: American Journal of Roentgenology. 1991;157: 1-8. 10.2214/ajr.157.1.2048504 ABSTRACT : Oriental cholangiohepatitis, an endemic disease in Southeast Asia, is characterized by recurrent attacks of abdominal pain, fever, and jaundice [doi.org]

Psychiatrical

  • Suggestibility

    Her liver tests were unremarkable suggesting any hepatobiliary diseases. [ncbi.nlm.nih.gov]

    Cook 2 et al. described the clinical aspects in 1954, while Stock and Tinckler 3 reported the result of their treatment in cases of cholangiohepatitis, a name suggested by Himsworth 4 in 1947 for a similar condition associated with obstruction of the [doi.org]

Treatment

During this period, patients with RPC and left intrahepatic (segments 2 and 3) ductal stones not amendable to endoscopic treatment were recruited for analysis. [ncbi.nlm.nih.gov]

Etiology

Its exact etiology is unknown, but parasitic infections such as Clonorchis sinensis and Ascaris lumbricoides, ascending bacterial infection with gut flora (Escherichia coli) and low socioeconomic status have been associated strongly with it. [ncbi.nlm.nih.gov]

A retrospective study was conducted in Taiwan, Hong Kong, and Singapore, and the results were compared with those in Japan with the aim of defining factors involved in the etiology of the condition. [doi.org]

Epidemiology

Chow L: Epidemiological studies of clonorchiasis at Meinung township in southern Taiwan. Formosan Sci 14:134–166, 1960 Google Scholar 27. Lee YS: The pattern of liver diseases in Singapore. An autopsy study. [doi.org]

Prevention

By diligent surveillance, we should be able to eliminate or decrease the number of stones and prevent cholangitis and its sequelae. [ncbi.nlm.nih.gov]

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