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DOI: 10.1055/s-2001-15325
© Georg Thieme Verlag Stuttgart · New York
Rapid Progress of Acute Suppurative Cholangitis to Secondary Sclerosing Cholangitis Sequentially Followed-up by Endoscopic Retrograde Cholangiography
Publication History
Publication Date:
31 December 2001 (online)
![](https://www.thieme-connect.de/media/endoscopy/200107/lookinside/thumbnails/10.1055-s-2001-15325-1.jpg)
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
Fax: Fax:+ 81-59-2315223
Email: E-mail:yujitana@clin.medic.mie-u.ac.jp