title: Recurrent pyogenic cholangitis or "oriental cholangiohepatitis' in occidentals: case reports of four patients.
abstract: The first description of recurrent pyogenic cholangitis occurring in four occidentals is presented. While recurrent pyogenic cholangitis is a common syndrome of uncertain aetiology among orientals (also known as oriental cholangiohepatitis), it has not previously been described in occidentals. Four such patients are described. They presented with recurrent attacks of ascending cholangitis and associated hepatolithiasis, biliary stricturing and dilation. Focal hepatic involvement was treated by segmental liver resection and recurrent disease by interventional endoscopy or radiology.
authors.affiliation: Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: M K
authors.initials: MK
authors.lastname: Wilson
authors.forename: M S
authors.initials: MS
authors.lastname: Stephen
authors.forename: M
authors.initials: M
authors.lastname: Mathur
authors.forename: D
authors.initials: D
authors.lastname: Sheldon
authors.forename: D
authors.initials: D
authors.lastname: Storey
mesh_terms: D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000473:pathology; D002137:Calculi / Q000473:pathology; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000382:microbiology / Q000473:pathology*; D003251:Constriction, Pathologic / Q000473:pathology; D004108:Dilatation, Pathologic / Q000473:pathology; D004724:Endoscopy; D013293:Enterococcus faecalis / Q000302:isolation & purification; D005260:Female; D016908:Gram-Positive Bacterial Infections; D006498:Hepatectomy; D006505:Hepatitis / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008107:Liver Diseases / Q000473:pathology; D008297:Male; D015642:Radiology, Interventional; D012008:Recurrence; D014057:Tomography, X-Ray Computed