Primary sclerosing cholangitis: a case report and review of the topic

Authors

  • Jorge Luis González Jara Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Manuel Salvador López Cárdenas Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Lissette María Alegret Amador

Keywords:

cholangitis, sclerosing/etiology, cholangiopancreatography, endoscopic retrograde/methods, sphincterotomy, endoscopic, cholestasis, liver cirrhosis, biliary/drug therapy

Abstract

The patient was admitted to hospital presenting an abdominal pain localized in the epigastrium, with irradiation to the left hypochondrium and a discrete jaundice; at first it was indicative of an ischemic heart disease because of the typical electrocardiographic changes it presented. After undergoing an abdominal ultrasonography, an acute cholecystitis was diagnosed. An endoscopic retrograde cholangiopancreatography was indicated. It showed an acute cholangitis, without lithiasis in the main bile duct. An endoscopic sphincterotomy was carried out. The patient underwent an emergency cholecystectomy. It was necessary to repeat the cholangiopancreatography because of the persistent jaundice and the suspicion of sclerosing cholangitis was confirmed. The patient received antibiotic treatment (ampicillin) and steroids; his general condition improved and was discharged.

Downloads

Download data is not yet available.

Author Biographies

Jorge Luis González Jara, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Cirugía General. Profesor Instructor de la Universidad de Ciencias Médicas de Villa Clara “Serafín Ruiz de Zárate Ruiz”.

Manuel Salvador López Cárdenas, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Cirugía General

Lissette María Alegret Amador

Máster en Ciencias Médicas. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara “Serafín Ruiz de Zárate Ruiz”.

Downloads

How to Cite

1.
González Jara JL, López Cárdenas MS, Alegret Amador LM. Primary sclerosing cholangitis: a case report and review of the topic. Acta Méd Centro [Internet]. 2010 Jan. 1 [cited 2025 Jul. 1];4(1):38-42. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/487

Issue

Vol. 4 No. 1 (2010): January-March

Section

Case Reports

License

Authors who have publications with this journal agree to the following terms:

  1. Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
  2. Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
  3. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).