sphincterotomy
Acute Suppurative Cholangitis (7 of 8)
Obstruction causes an increase in ductal pressure. The bacteria proliferate and escape into the systemic circulation via the hepatic sinusoids. The manifestations of sepsis may overshadow those of...
Acute Suppurative Cholangitis (6 of 8)
Endoscopic retrograde cholangiopancreatography (ERCP) has become a widely available and routine procedure, whilst open cholecystectomy has largely been replaced by a laparoscopic approach, which may...
Acute Suppurative Cholangitis (5 of 8)
Dormia basket is used to removal the calculi Emergency surgery for patients with severe acute cholangitis due to choledocholithiasis is associated with substantial morbidity and mortality. Emergency...
Acute Suppurative Cholangitis (4 of 8)
Emerging Purulent Secretion In 1877, Charcot described cholangitis as a triad of findings of right upper quadrant (RUQ) pain, fever, and jaundice. The Reynolds pentad adds mental status changes and...
Acute Suppurative Cholangitis (3 of 8)
The Needle-knife precut extending the incision. Cholangitis can be life-threatening, and is regarded as a medical emergency. Characteristic symptoms include jaundice, fever, abdominal pain, and in...
Acute Suppurative Cholangitis (2 of 8)
Needle-knife precut sphincterotomy Endoscopic biliary drainage for severe acute cholangitis. The sphincterotomy is iniciates with pre-cut needle emerging abundant purulent secretion (Colangitis) Charcot...
Acute Suppurative Cholangitis (1 of 8)
96 year-old female, 20 years previously underwent a cholecystectomy, patient was hospitalized with abdominal pain in the right upper quadrant, tenderness and jaundice, elevated alkaline phosphatase...
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