Endoscopy 2001; 33(7): 633-635
DOI: 10.1055/s-2001-15325
Case Report

© Georg Thieme Verlag Stuttgart · New York

Rapid Progress of Acute Suppurative Cholangitis to Secondary Sclerosing Cholangitis Sequentially Followed-up by Endoscopic Retrograde Cholangiography

Y. Tanaka1 ,   2 , H. Koshiyama1 , K. Nakao1 , Y. Makita1 , Y. Kobayashi1 ,   2 , Y. Yoshida1 , M. Kimura1 , Y. Adachi2
  • 1 Dept. of Internal Medicine, Yokkaichi Social Insurance Hospital, Yokkaichi, Japan
  • 2 Third Dept. of Internal Medicine, Mie University School of Medicine, Tsu, Japan
Further Information

Publication History

Publication Date:
31 December 2001 (online)

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.

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Y. Tanaka, M.D.

Third Dept. of Internal Medicine
Mie University School of Medicine

2-174 Edobashi, Tsu City
Mie, 514-8507
Japan


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Email: E-mail:yujitana@clin.medic.mie-u.ac.jp