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
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