Abstract
Acute cholangitis leading to sepsis is a common occurrence, especially in populations with a highprevalence of gallstones. Unfortunately, the mortality rate related to this issue is high. Recently,we had a case involving an elderly woman who initially had mild acute cholangitis, but it progressedinto a severe case. Respiratory and hematological issues developed, along with worsening septicparameters and liver functions. As a result, she was intubated, ventilated, and monitored in theintensive care unit (ICU). Urgent ERCP failed, but PTBD and percutaneous cholecystostomy wereinserted to aid in biliary decompression and sepsis control. Currently, she is recovering fromsepsis and plans for early ERCP and cholangiogram before definitive surgical intervention. Tohandle obstructed biliary sepsis, early biliary drainage is crucial for urgent biliary decompressionand sepsis control, alongside fluid resuscitation, intravenous antibiotics, and intensive care.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
