Acute cholangitis presents classically with fever, jaundice, and right upper quadrant pain. Initial management should start with resuscitation with intravenous fluids and initiation of broad-spectrum antibiotics. The treatment is drainage of the biliary tree. The location of the biliary obstruction within the biliary tree should be ascertained as this may dictate management whether by endoscopic retrograde cholangiopancreatography (ERCP) for proximal obstruction or percutaneous transhepatic cholangiography (PTC) for distal obstruction. If these methods are unsuccessful, then open biliary drainage should be undertaken.
KeywordsAcute cholangitis Charcot’s triad Reynold’s pentad ERCP PTC Choledochotomy
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