A patient with acute ischemic cholangiopathy may present with a number of clinical signs and symptoms. The diagnosis often depends on considering the diagnosis and identifying possible causes.


Clinical findings:

(1) fever

(2) right upper quadrant pain

(3) jaundice

(4) biliary sepsis

(5) rarely multiple organ failure (MOF)


Laboratory findings:

(1) elevated serum liver function tests usually with a cholestatic pattern


Findings on imaging studies:

(1) biloma (associated with bile duct necrosis)

(2) biliary cast(s) with intraductal filling defects


Differential diagnosis:

(1) choledochal stone

(2) cholangitis and/or abscess


To read more or access our algorithms and calculators, please log in or register.