ascending cholangitis
chol·an·gi·tis len·ta
ascending cholangitis
Acute bile duct inflammation.Clinical findings Right upper quadrant pain that may radiate to the shoulder, variable severity, nausea, vomiting, constipation, episodic chills, fever, slow pulse, Murphy sign, anorexia, weight loss; spontaneous remission is rare.
Aetiology Stricture or obstruction of bile ducts, infection, pancreatic reflux, drugs, chemicals.
Lab Increased white cells (especially neutrophils), increased bilirubin, urobilinogen in urine.
Management Cholecystectomy.