재발성화농성담낭염의 방사선학적 고찰 = Radiological Evaluation of Recurrent Pyogenic Cholangitis

다국어 초록 (Multilingual Abstract)

Recurrent pyogenic cholangitis (RPC) is defined as a condition in which there is a primary bacterial cholangitis, characterized clinically by recurrent attacks of fever, chills, abdominal pain, and jaundice. 17 cases of recurrent pyogenic cholangitis at Won Kwang University Hospital during the past three years were analyzed by clinical, radiological and surgical findings. The results were as follows: 1. Peak incidence was noted at fifth decade (35%) and the ratio of male to female was almost equal (1:1:1). 2. Most of patients were undernurished and rural population in low socio-eccnomic state. 3. The characteristic and most frequent symptoms were fever, chills, abdominal pain, and jaundice. 4. Serum alkaline phosphatase level was elevated almost 4 times to the upper limit of normal. 5. There was a history of cholecystectomy with or without T-tube drainage in 65% of 17 cases. 6. The cholangiographic findings in the biliary trees were stricture, stones and dilated ducts, and occured more commonly in the left hepatic duct than right. 7. Most stones of biliary trees were pigment stones, and occasionally muddy stones were seen. 8. Most of the organism obtained from bile culture were E. coli, supported an infective etiology.