Recurrent pyogenic cholangitis

Abstract

Recurrent pyogenic cholangitis or hepatolithiasis is prevalent in Southeast Asia and is characterized by the finding of pigmented calculus within the intrahepatic bile ducts proximal to confluent of right and left hepatic duct. Cholangitis occurs primarily in bile ducts, which subsequent resulted in pigmented stones and stricture formation. Only with the help of radiological imaging we can stamp the diagnosis of recurrent pyogenic cholangitis. Ultrasonography and computed tomography (CT) played key role in defining this condition. Although recurrent pyogenic cholangitis rarely seen out side Southeast Asia in the past, ease of travel and migration have mean that this condition is now encountered in western countries more regularly. We described a case of extensive hepatolithiasis due to recurrent pyogenic cholangitis.