Ultrasonography of acute obstructive suppurative cholangitis: Serial observation by ultrasound
✍ Scribed by Hideaki Ishida; Hitoshi Yagisawa; Hiroshi Nasu; Hiromichi Arakawa; Osamu Masamune
- Publisher
- John Wiley and Sons
- Year
- 1987
- Tongue
- English
- Weight
- 484 KB
- Volume
- 15
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
Acute obstructive suppurative cholangitis (AOSC) is a severe form of cholangitis secondary to bacterial contamination in the biliary It develops, in general, in the presence of bile stasis, and its clinical features are almost the same regardless of the cause, whether it is benign stenosis, such as stones or inflammatory strictures, or neoplastic changes.
Major symptoms are jaundice, pain, and spiky fever of septic nature, and patients with AOSC require immediate biliary drainage.
Although multiple imaging modalities are currently available to evaluate patients with suspected hepatobiliary disorders, sonography or computed tomography (CT) have been thought to provide little information in patients with AOSC.
Indeed, the authors cannot find any record available in the literature concerning sonographic features of AOSC, and we found no report of the evolution of AOSC followed with ultrasound.
We describe here two cases of AOSC in which sonographic features could be successively compared with clinical aspects.
CASE REPORTS Case 1
A 70-year-old man was admitted because of chronic abdominal discomfort. The white blood count was 11,000 with a slight shift to the left. Hematocrit was 33.3%, serum bilirubin 1.7 mg/dL, alkaline phosphatase 3,750 IU, y-GTP 771 U, SGOT 46 IU/L, and SGPT 30 IU/L. Sonography revealed gross dilatation of intra-and extrahepatic bile ducts