Acute Cholangitis

  • Joel VanderVelde
  • Ross F. GoldbergEmail author


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.


Acute cholangitis Charcot’s triad Reynold’s pentad ERCP PTC Choledochotomy 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryMaricopa Integrated Health SystemPhoenixUSA
  2. 2.Creighton University School of MedicinePhoenixUSA
  3. 3.University of Arizona College of Medicine – PhoenixPhoenixUSA

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