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{{Cholangitis}}
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{{CMG}}; {{AE}} {{FH}}
{{CMG}}; {{AE}} {{ADS}} {{FH}}
==Overview==
==Overview==
Cholangitis must be differentiated from other causes of infection in the [[common bile duct]], as well as [[inflammation]] and infection of [[cholecystitis]].
Cholangitis must be differentiated from other causes of infection in the [[common bile duct]], as well as [[inflammation]] and infection of [[cholecystitis]].and mainly from other causes of acute abdomen.


==Differentiating Cholangitis from other Diseases==
==Differentiating Cholangitis from other Diseases==

Revision as of 20:25, 23 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2] Farwa Haideri [3]

Overview

Cholangitis must be differentiated from other causes of infection in the common bile duct, as well as inflammation and infection of cholecystitis.and mainly from other causes of acute abdomen.

Differentiating Cholangitis from other Diseases

Cholangitis should be differentiated from the following:[1]

Differentiating acute cholangitis from other causes of acute abdomen

Acute/

Chronic

Disease Clinical findings Causes Laboratory findings Treatment
Fever Rigors and chills Abdominal pain Site of pain Jaundice Hypotension Other findings
Acute Acute cholangitis /

Ascending cholangits

+ + RUQ +
  • Gall stones
Acute suppurative

cholangitis

++ + + RUQ + +
  • Gall stones
Acute cholecystitis ± + RUQ ±
  • Gall stones
Acute pancreatitis ± + LUQ, radiating to back ±
  • Gall stones
Acute appendicitis ± + in pyogenic/

perforated type

+ Starts in umblical area and radiates to LLQ + in perforated appendix
Acute hepatitis + + RUQ +
Acute diverticulitis + + LLQ
Peptic Ulcer ± + Epigastrium or

RUQ (in duodenal ulcer)

Liver abscess ++ + + RUQ ±
Choledocholithiasis ± RUQ +
Ruptured ovarian cyst / Ovarian torsion ± + LLQ/ RLQ
Tubo-ovarian abscess + + + LLQ/ RLQ
Chronic Primary sclerosing

cholangitis

Primary biliary sclerosis
Chronic pancreatitis
Hepatitis
Liver Cirrhosis
RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant, LLQ = Left lower quadrant, RLQ= Right lower quadrant

References

  1. Miura F, Takada T, Kawarada Y, Nimura Y, Wada K, Hirota M, Nagino M, Tsuyuguchi T, Mayumi T, Yoshida M, Strasberg SM, Pitt HA, Belghiti J, de Santibanes E, Gadacz TR, Gouma DJ, Fan ST, Chen MF, Padbury RT, Bornman PC, Kim SW, Liau KH, Belli G, Dervenis C (2007). "Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo Guidelines". J Hepatobiliary Pancreat Surg. 14 (1): 27–34. doi:10.1007/s00534-006-1153-x. PMC 2784508. PMID 17252294.


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