title: Rapid progress of acute suppurative cholangitis to secondary sclerosing cholangitis sequentially followed-up by endoscopic retrograde cholangiography.
abstract: A 66-year-old man was admitted to our hospital because of right hypochondralgia and fever after colonic polypectomy. Endoscopic examination revealed purulent bile excretion from the duodenal papilla orifice; based on this finding, acute suppurative cholangitis was diagnosed. An endoscopic retrograde cholangiography revealed no abnormality in the biliary tree. However, chronic cholestasis persisted, and endoscopic cholangiography performed 4 months later disclosed a beaded appearance of the intrahepatic bile ducts; this sign is a characteristic finding of sclerosing cholangitis. This is the first report of rapid progression of acute suppurative cholangitis to secondary sclerosing cholangitis sequentially followed-up by endoscopic retrograde cholangiography.
authors.affiliation: Dept. of Internal Medicine, Yokkaichi Social Insurance Hospital, Japan. yujitana@clin.medic.mie-u.ac.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Tanaka
authors.forename: H
authors.initials: H
authors.lastname: Koshiyama
authors.forename: K
authors.initials: K
authors.lastname: Nakao
authors.forename: Y
authors.initials: Y
authors.lastname: Makita
authors.forename: Y
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshida
authors.forename: M
authors.initials: M
authors.lastname: Kimura
authors.forename: Y
authors.initials: Y
authors.lastname: Adachi
mesh_terms: D000208:Acute Disease; D000368:Aged; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D002756:Cholagogues and Choleretics; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000175:diagnosis* / Q000473:pathology; D015209:Cholangitis, Sclerosing / Q000175:diagnosis* / Q000473:pathology; D004108:Dilatation, Pathologic; D018450:Disease Progression; D006801:Humans; D008297:Male; D014580:Ursodeoxycholic Acid
chemical_list: D002756:Cholagogues and Choleretics; D014580:Ursodeoxycholic Acid