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ISSN 1817-5996 (Electronic)

2021, Number 3

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Rev Cub de Reu 2021; 23 (3)

Acute cholangitis secondary to choledocholithiasis in a patient with systemic lupus erythematosus

Llumitaxi CJL, Guamán GNM, Lema TJG, Vallejo OEL, Solis CU

Language: Spanish
References: 12
Page:
PDF size: 267.12 Kb.


ABSTRACT

Acute cholangitis is an inflammatory disease of the bile ducts that represents the most frequent complication of biliary obstruction. The therapeutic approach requires urgent treatment, assessment of its evolution and generally biliary drainage with the use of endoscopic methods. To present clinical, laboratory and imaging elements that allow diagnosing the presence of acute cholangitis secondary to choledocholithiasis in a lupic patient and its therapeutic management. Clinical case: female patient, 37 years old, who goes to emergency services with clinical, laboratory and imaging manifestations that allow diagnosing acute cholangitis secondary to choledocholithiasis. The presence of lithiasis in the bile ducts triggers inflammatory processes, with symptoms ranging from mild to very severe and imply inpatient management of the patient. Endoscopy, in this case, endoscopic retrograde cholangiopancreatography, represents a significant decrease in morbidity and mortality in patients, compared to the use of surgical procedures.


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