Discrimination of suppurative cholangitis from nonsuppurative cholangitis with computed tomography (CT)

European Journal of Radiology
Nam Kyung LeeHong Jae Jo

Abstract

Suppurative cholangitis is characterized by obstruction, inflammation, and pyogenic infection of the biliary tract. This disease represents a true emergency. The purpose of this study was to compare the computed tomography (CT) findings between acute calculous suppurative and nonsuppurative cholangitis and to determine if there are findings that assist in the differential diagnosis. Fifteen patients with acute suppurative cholangitis were enrolled in this study. Findings at endoscopic retrograde cholangiopancreaticography (ERCP) were the standard of reference for suppurative cholangitis. To compare the findings of suppurative cholangitis with those of nonsuppurative cholangitis, 35 patients with nonsuppurative cholangitis were randomly selected. The following findings were evaluated: the presence of papillitis, the presence of stones in the ampulla, the presence of intrahepatic stones, the presence of early inhomogeneous enhancement of the liver, the degree of bile duct dilatation, the degree of bile duct wall thickening and presence of cholecystitis. Sensitivity and specificity for each of the individual findings were calculated. Statistical analyses were performed the Pearson chi(2) test, Fisher's exact test and the Mann-Whit...Continue Reading

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Citations

Jun 4, 2014·Radiologic Clinics of North America·Benjamin L Yam, Evan S Siegelman
Nov 21, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Onofrio A CatalanoPeter F Hahn
Dec 13, 2012·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Yun-Sheng QinShu-Sen Zheng
Jun 24, 2009·European Journal of Radiology·Nam Kyung LeeHyung Il Seo
Jan 12, 2013·Journal of Hepato-biliary-pancreatic Sciences·Seiki KiriyamaUNKNOWN Tokyo Guidelines Revision Committee
Nov 18, 2011·European Journal of Radiology·Hyo Won EunYoung Jae Kim
Dec 12, 2017·Journal of Clinical and Translational Hepatology·Amir Houshang Mohammad Alizadeh
Oct 17, 2017·Journal of Hepato-biliary-pancreatic Sciences·Seiki KiriyamaMasakazu Yamamoto
Jan 23, 2020·Seminars in Ultrasound, CT, and MR·Daniel HynesTara Catanzano
Jul 9, 2021·The British Journal of Radiology·Sarah Pötter-LangMichael Trauner

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