Presenter: Alexandra Rueda De Leon MD | Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Background: Dysfunction secondary to stenosis of the anastomosis and cholangitis are two parameters selected for evaluating outcomes bile duct repair. A number patients with normal levels bilirubin in serum no findings suggesting anastomotic dysfunction at image can be found have other cl...

Hepatolithiasis is a disease characterized by intrahepatic stone formation, being challenging disorder with frequent recurrences, development of chronic cholangitis and sepsis, as well liver abscesses. Notably, without prompt adequate treatment, hepatolithiasis associated the cirrhosis cholangiocellular carcinoma. Recent reports demonstrate an increasing prevalence hepatolithiasis, likely due t...

Rare liver diseases caused by ductal plate malformation, such as congenital hepatic fibrosis (CHF), Caroli syndrome, and polycystic disease, can have clinical manifestations recurrent cholangitis—frequently involving multidrug-resistant microorganisms—leading to difficulties in selecting the optimal antimicrobial treatment. Without prompt recognition, these infections severely hamper patient’s ...

Abstract Aim The aim of this audit was to investigate how patients referred by the Emergency Department (ED) with biliary disease were managed. Also, identify a cohort which could be safely discharged from ED an outpatient US and follow up Surgical Assessment Unit. Method Data collected 23/11/20 11/12/20. inclusion criteria abdominal pain diagnosis disease. included blood results, results if th...

Background: One of the most serious late complications, after evacuation of liver hydatid cyst and instillation of scolicidal agents is sclerosing cholangitis, most probably caused by the type of scolicidal agents instilled. Objective:  To determine the incidence of sclerosing cholangitis after intra-biliary tract infusion of 5% saline and 0.5% silver nitrate. Methods: 5% hypertonic saline and ...

In our experience, post-ERCP acute cholangitis developed in approximately 5% of cases with a not negligible mortality of nearly 30% in spite of antibiotic therapy. Analytical factors can help to identify the most serious cases that could benefit from a more aggressive approach.

Sarcoidosis is a systemic granulomatous disease of unknown etiology. The association of the cholestatic pattern usually seen in sarcoidosis, with biliary duct changes resembling primary sclerosing cholangitis (PSC) is rare. Liver transplantation permits the histological evaluation of the complete explanted liver, making the diagnosis more reliable. In conclusion we present our experience with t...

Pneumonitis and symptomatic hepatitis are very rare complications of syphilis. Symptomatic hepatitis and subclinical reticulonodular pulmonary infiltrates were observed when an HIV-infected patient presented with secondary syphilis. The Jarisch-Herxheimer reaction included a flare of hepatitis symptoms, resembling cholangitis. In a patient with syphilis, it may be appropriate to delay an aggres...

This is a report on a 36-year-old male patient presenting with a rare combination of ulcerative colitis and primary sclerosing cholangitis. The disease of the biliary tract was suspected on the basis of the endoscopic retrograde representation of the common bile duct, and serologically differentiated from a chronic destructive, non-supperative cholangitis on the basis of a lack of antimitochond...