[Acute opisthorchiasic cholecystocholangitis]

Morphologic alterations in the major duodenal papilla were studied in 36 corpses of people with opisthorchiasis. Experience with the treatment of 1135 patients with acute opisthorchiasic cholecystocholangitis (AOChCh) has been analysed. Conservative treatment was used in 852 patients, operations were performed on 283 patients, 31 of them died. The trigger for the appearance of AOChCh is thought to be occlusion of the common bile duct and the presence of infection in bile ducts. The treatment should be started by conservative methods. Surgery is indicated if they proved to be ineffective.