Abstract
Acute cholangitis, arising from obstruction of the common bile duct, most commonly presents with fever and right upper quadrant pain. The severity of illness can range from mild to severe, and prompt biliary drainage with adequate antibiotic coverage is the primary treatment. While the role for surgical intervention as a primary treatment strategy in this illness has largely subsided due to the increased role of endoscopic retrograde cholangiopancreatography (ERCP) by interventional gastroenterology and percutaneous transhepatic cholangiography (PTC) with percutaneous transhepatic biliary drainage (PTBD) by interventional radiology, surgical intervention must be considered if the patient’s condition is deteriorating and the nonoperative means of biliary drainage are unsuccessful. Ultimately, many patients require definitive surgical management of the underlying source of biliary obstruction once the acute episode has resolved.
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