Related Experiment Videos
[Acute infectious cholangitis]
R Carmona1, J Suazo, L Uscanga Domínguez
1División de Medicina Interna, Instituto Nacional de la Nutrición Salvador Zubirán.
Aim:
To know the results in the treatment of acute infectious cholangitis (IAC) and to identify risk factors related to morbidity and mortality.
Material And Methods:
We reviewed the records of patients with AIC in a 7 year period. Clinical presentation, diagnostic methods and treatment were analyzed.
Results:
There were 85 cases (61% females and 39% males). Abdominal pain, fever and jaundice were the symptoms most frequently observed. Choledocholithiasis was present in 75% of the cases, malignant obstruction in 12% and other causes in 13%. All patients received antibiotics and 74% underwent any form of biliary drainage. There were complications in 32% of the cases and 14% died. Malignant obstruction was related to high risk of death (OR 11.1).
Conclusion:
The IAC is a potentially life-threatening disease and is most ominous in cases of malignant occlusion of biliary tree.