Type your tag names separated by a space and hit enter


Cholangitis is a topic covered in the 5-Minute Emergency Consult.

To view the entire topic, please or purchase a subscription.

Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:

Emergency Central

-- The first section of this topic is shown below --



  • Partial or complete obstruction of the common bile duct owing to gallstones, tumor, cyst, or stricture
  • Increased intraluminal pressure in biliary tree
  • Bacterial multiplication results in bacteremia and sepsis.
  • Purulent infection of biliary tree, which may involve the liver and gallbladder
  • Mirizzi syndrome is defined as common bile duct obstruction owing to extrinsic compression from gallbladder or cystic duct edema or stones.


  • Bacterial sources of infection include:
    • Ascending duodenal source
    • Gallbladder infection
    • Portal venous seeding
    • Hematogenous spread with hepatic secretion
    • Lymphatic spread
  • Bacterial organisms include:
    • Anaerobes (Bacteroides and Clostridium species)
    • Intestinal coliform (Escherichia coli)
    • Enterococcus
  • AIDS sclerosing cholangitis characterized by:
    • Papillary stenosis
    • Sclerosing cholangitis
    • Extrahepatic biliary obstruction
    • Cytomegalovirus (CMV), Cryptosporidium, and microsporidia isolated, but causal role not established

-- To view the remaining sections of this topic, please or purchase a subscription --


* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Cholangitis ID - 307129 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307129/all/Cholangitis PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -