Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Warning Signs Outlook Complications Underlying Cause Anatomy
Acute Cholangitis Evaluation
- Abdominal tenderness in the right-upper abdomen.
- Jaundice may be present if there is blockage of the bile duct.
Testing is usually required to confirm this diagnosis of cholangitis and determine the severity of the illness.
Tests that may be used to evaluate cholangitis include:
- Serum amylase
- Serum lipase
- Serum bilirubin
- Complete blood count
- Liver profile
- Kidney profile
- Blood cultures
Gallbladder imaging tests that may be used to evaluate cholangitis include:
- Abdominal x-rays
- Ultrasound of the abdomen
- CT scanning of the abdomen
- MRI scan of the abdomen
- Nuclear scanning of the gallbladder (HIDA scan)
- Offers the additional benefit of allowing for the removal of gallstones from the common bile duct, thus avoiding the need for emergency surgery.
Continue to Acute Cholangitis Treatment
PubMed Acute Cholangitis References
- Bergquist A, Broome U. Clinical features in primary sclerosing cholangitis. Clin Liver Dis. 1998 May;2(2):283-301, viii. 
- Gossard AA, Angulo P, Lindor KD. Secondary sclerosing cholangitis: a comparison to primary sclerosing cholangitis. Am J Gastroenterol. 2005 Jun;100(6):1330-3. 
- Pall H, Jonas MM. Pediatric hepatobiliary disease. Curr Opin Gastroenterol. 2005 May;21(3):344-7.