title: Acute suppurative necrotizing pancholangitis. A case report.
abstract: OBJECTIVE
  To present a case of ascending cholangitis with resulting necrosis of the biliary system with perforation.
  
  
  METHODS
  A 40-year-old male patient presented with upper abdominal pain, fever and jaundice assessed clinically and investigated by laboratory and radiological tests. Endoscopic retrograde cholangiogram and surgery were performed. However, because of extensive suppurative pancholangitis involving most of the intrahepatic radicles, sound surgical drainage could not be accomplished. Unfortunately, the patient died 2 days after surgery.
  
  
  CONCLUSIONS
  In this case of severe cholangitis, endoscopic and surgical interventions were not successful and might have contributed to the worsening of the condition.
authors.affiliation: Department of Surgery, Faculty of Medicine, Kuwait University, Kuwait. magidnasr@hotmail.com
authors.forename: Magid M A
authors.initials: MM
authors.lastname: Nasr
authors.forename: Sami
authors.initials: S
authors.lastname: Asfar
authors.forename: Ali
authors.initials: A
authors.lastname: Nur
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Wafai
mesh_terms: D000208:Acute Disease; D000328:Adult; D001652:Bile Ducts / Q000473:pathology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009336:Necrosis; D012422:Rupture, Spontaneous