Acute cholangitis

Question 1

What are the 3 most common causative organisms?

Answer 1

1. E.coli
2. Klebsiella
3. Enterococcus

Question 2

What are the causes?

Answer 2

Obstruction of bile ducts i.e. gallstone in CBD
Infection from ERCP

Question 3

How does it present?

Answer 3

Charcot’s triad:
1. RUQ pain
2. Fever
3. Jaundice

Question 4

What does management involve?

Answer 4

ERCP
Percutaneous transhepatic cholangiogram - radiologically guided insertion of a drain into the bile ducts