A 73-year-old man presented to the emergency department with a 3-day history of right
upper quadrant pain. His medical history was significant for chronic obstructive pulmonary
disease. He was febrile at 38.3°C, tachycardic at 120 beats per minute, hypotensive
at 95/50 mm Hg, and tachypnoeic at 26 breaths per minute. On examination, he was confused
and jaundiced. On palpation, there was right upper quadrant tenderness without evidence
of peritonism. He had an elevated white cell count of 16 × 109/L, a cholestatic pattern of liver function test derangement with an elevated bilirubin
of 31 μmol/L, and an elevated alkaline phosphatase of 160 U/L.
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References
- Oriental cholangiohepatitis (recurrent pyogenic cholangitis): a case series from the Netherlands and brief review of the literature.Neth J Med. 2016; 74: 401-405
- Oriental cholangiohepatitis—is our surgery appropriate?.Int J Surg. 2014; 12: 789-793
- Percutaneous endoscopic management for oriental cholangiohepatitis: a case report and a brief review of the literature.Case Rep Gastrointest Med. 2017; 8575674
Article info
Publication history
Published online: April 15, 2022
Accepted:
March 15,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
