An Uncommon Cause of Cholangitis and Cholecystitis

Blood tests revealed normal blood cell counts, mild elevation of C-reactive protein (31.0 mg/L), cholestasis (alkaline phosphatase 479 U/L, γ-GT 1,111 U/L) and hyperbilirubinemia (9.6 mg/dL). Subsequently, endoscopic ultrasound was performed and revealed inflamed (diffuse ductal wall oedema) and dil...

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Veröffentlicht in:GE Portuguese journal of gastroenterology 2018-06, Vol.25 (4), p.211-213
Hauptverfasser: Lopes Dias Pinto, João Sebastião, Lopes Azevedo, Richard José, Duarte Banhudo, António José
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container_title GE Portuguese journal of gastroenterology
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creator Lopes Dias Pinto, João Sebastião
Lopes Azevedo, Richard José
Duarte Banhudo, António José
description Blood tests revealed normal blood cell counts, mild elevation of C-reactive protein (31.0 mg/L), cholestasis (alkaline phosphatase 479 U/L, γ-GT 1,111 U/L) and hyperbilirubinemia (9.6 mg/dL). Subsequently, endoscopic ultrasound was performed and revealed inflamed (diffuse ductal wall oedema) and dilated common bile duct and cystic duct, both filled by an elongated and rounded structure with a double-tubular core (Fig. 1), and multiple enlarged hilar lymph nodes. According to the diagnosis of cholangitis, an endoscopic retrograde cholangiopancreatography was performed.
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subjects Abdomen
Ascaris lumbricoides
Bile
Cholangitis
Edema
Endoscopic retrograde cholangiopancreatography
Endoscopic ultrasound
Endoscopy
Gallbladder
Gallbladder diseases
Images in Gastroenterology and Hepatology
Pain
Ultrasonic imaging
title An Uncommon Cause of Cholangitis and Cholecystitis
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