Bacterial cholangitis causing secondary sclerosing cholangitis: A case report

<p>Abstract</p> <p>Background</p> <p>Although bacterial cholangitis is frequently mentioned as a cause of secondary sclerosing cholangitis, it appears to be extremely rare, with only one documented case ever reported.</p> <p>Case presentation</p> <p...

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Main Authors: Depla Annekatrien CTM, van Buuren Henk R, ter Borg Pieter CJ
Format: Article
Language:English
Published: BMC 2002-06-01
Series:BMC Gastroenterology
Online Access:http://www.biomedcentral.com/1471-230X/2/14
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author Depla Annekatrien CTM
van Buuren Henk R
ter Borg Pieter CJ
author_facet Depla Annekatrien CTM
van Buuren Henk R
ter Borg Pieter CJ
author_sort Depla Annekatrien CTM
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Although bacterial cholangitis is frequently mentioned as a cause of secondary sclerosing cholangitis, it appears to be extremely rare, with only one documented case ever reported.</p> <p>Case presentation</p> <p>A 48-year-old woman presented with an episode of acute biliary pancreatitis that was complicated by pancreatic abcess formation. After 3 months she had an episode of severe pyogenic <it>(E. Coli)</it> cholangitis that recurred over the subsequent 7 months on a further two occasions. Initially, cholangiography suggested the presence of extra-biliary intrahepatic abcesses while repeated investigations demonstrated development of multiple segmental biliary duct strictures. After maintenance antibiotic treatment was started, no episodes of cholangitis occurred over a 14-month period.</p> <p>Conclusions</p> <p>Sclerosing cholangitis can rapidly develop after an episode of bacterial cholangitis. Extra-biliary involvement of the hepatic parenchyma with abcess formation may be a risk factor for developing this rare but particularly severe complication.</p>
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spelling doaj.art-b6fbbfd7c24f47e59ad2816a0543e91a2022-12-22T03:05:08ZengBMCBMC Gastroenterology1471-230X2002-06-01211410.1186/1471-230X-2-14Bacterial cholangitis causing secondary sclerosing cholangitis: A case reportDepla Annekatrien CTMvan Buuren Henk Rter Borg Pieter CJ<p>Abstract</p> <p>Background</p> <p>Although bacterial cholangitis is frequently mentioned as a cause of secondary sclerosing cholangitis, it appears to be extremely rare, with only one documented case ever reported.</p> <p>Case presentation</p> <p>A 48-year-old woman presented with an episode of acute biliary pancreatitis that was complicated by pancreatic abcess formation. After 3 months she had an episode of severe pyogenic <it>(E. Coli)</it> cholangitis that recurred over the subsequent 7 months on a further two occasions. Initially, cholangiography suggested the presence of extra-biliary intrahepatic abcesses while repeated investigations demonstrated development of multiple segmental biliary duct strictures. After maintenance antibiotic treatment was started, no episodes of cholangitis occurred over a 14-month period.</p> <p>Conclusions</p> <p>Sclerosing cholangitis can rapidly develop after an episode of bacterial cholangitis. Extra-biliary involvement of the hepatic parenchyma with abcess formation may be a risk factor for developing this rare but particularly severe complication.</p>http://www.biomedcentral.com/1471-230X/2/14
spellingShingle Depla Annekatrien CTM
van Buuren Henk R
ter Borg Pieter CJ
Bacterial cholangitis causing secondary sclerosing cholangitis: A case report
BMC Gastroenterology
title Bacterial cholangitis causing secondary sclerosing cholangitis: A case report
title_full Bacterial cholangitis causing secondary sclerosing cholangitis: A case report
title_fullStr Bacterial cholangitis causing secondary sclerosing cholangitis: A case report
title_full_unstemmed Bacterial cholangitis causing secondary sclerosing cholangitis: A case report
title_short Bacterial cholangitis causing secondary sclerosing cholangitis: A case report
title_sort bacterial cholangitis causing secondary sclerosing cholangitis a case report
url http://www.biomedcentral.com/1471-230X/2/14
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AT vanbuurenhenkr bacterialcholangitiscausingsecondarysclerosingcholangitisacasereport
AT terborgpietercj bacterialcholangitiscausingsecondarysclerosingcholangitisacasereport