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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Format: | Article |
Language: | English |
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BMC
2002-06-01
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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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format | Article |
id | doaj.art-b6fbbfd7c24f47e59ad2816a0543e91a |
institution | Directory Open Access Journal |
issn | 1471-230X |
language | English |
last_indexed | 2024-04-13T03:09:03Z |
publishDate | 2002-06-01 |
publisher | BMC |
record_format | Article |
series | BMC Gastroenterology |
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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