[Uremigenic cholangitis].

L Sandu; I Popescu

PubMed · 127229

[Uremigenic cholangitis].

Abstract

The treatment is presented, applied in a case of severe angiocholitis complicated by acute renal failure, known in the literature under the name of uremigenic angiocholitis. After three emergency hospitalizations, two interventions consisting in surgical drainage, de-shocking procedures, treatment of the hepato-renal failure and applications of wide-range antibiotics for the treatment of infection the angiocholitic phenomena disappeared and the hepato-renal failure is on the way to recovery. At this moment of the evolution the patient developed atrial fibrillation that was improved by Narcotan anesthesia. The efficiency is remarked of the treatment with large amounts of Furosemid in the anuric period, as a means to avoid extra-renal depuration.

Explore related subjects

Cholangitis Cholecystitis Cholestasis Chronic Disease Hepatitis A Humans Male Middle Aged Uremia Case Reports English Abstract Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

L Sandu, I Popescu. [Uremigenic cholangitis].. https://pubmed.ncbi.nlm.nih.gov/127229/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

[Obstructive jaundice and cholangitis secondary to hepatic hydatid cyst].

Explore the source record for details and available documents.

Cholangitis↗

PubMed2006

[Cholangitis with subphrenic abscess after complicated cholecystectomy due to occluded plastic stents].

A 62-year-old lady presented with fever and abdominal pain. History revealed cholecystectomy two years ago due to cholecystolithiasis, complicated by perforation of the common bile duct, leading to hepaticojejunostomy, jejunocholedochostomy, endoscopic retrograde insertion of two plastic stents and percutaneous drainage of bilioma. The patient was lost to follow-up until she presented two years later in the emergency room. ERC was performed. Both stents were occluded. After extraction dirty bile popped out. Injection of contrast medium showed stones in the remaining common bile duct and dilatation of the intrahepatic bile ducts and the interposed jejunum. After stone extraction a subphrenic intrahepatic fluid collection became visible when injecting contrast medium in the intrahepatic bile ducts. Pus was aspirated. The abscess was drained with a nasobiliary tube. Antibiotics were given. Temperature and CRP normalized. The nasobiliary tube was removed when the biliary fluid was clear. Recovery was uneventful with complete resolution of symptoms.

Cholangitis↗

PubMed2006

Palliative percutaneous drainage in malignant biliary obstruction. Part 1: indications and preprocedure evaluation.

A diagnosis of liver metastasis, periportal adenopathy, or hepatobiliary cancer often is accompanied by findings of biliary obstruction. Malignant biliary obstruction frequently is associated with pruritus, anorexia, cholangitis, or hyperbilirubinemia, which that precludes treatment with chemotherapeutic agents that are excreted or metabolized hepatically. In patients with low biliary obstruction, endoscopic stent placement may accomplish drainage of the entire biliary tree without the need for an external device. Patients with high bile duct obstruction, on the other hand, may need a percutaneous approach to drain the target ducts and avoid draining an atrophic segment or lobe. This first of a series of two articles concerning palliative percutaneous biliary intervention will review the indications for biliary drainage and the preprocedure evaluation of this complicated patient population.

Cholangitis↗