The helminths most commonly associated with recurrent pyogenic cholangitis are Clonorchis sinensis and Ascaris lumbricoides, although they are found in less than half of the patients with the ...

The clinical presentation of recurrent pyogenic cholangitis is often similar to that of simple obstructive cholangitis, with an initial episode of cholangitis in 15 to 33 percent of cases. 28,29 ...

Follow-up examination should ensure resolution of clinical symptoms, laboratory abnormalities (including eosinophilia, elevated liver enzyme levels and serologic titres) and radiologic findings ...

Dr Phani Krishna said that recurrent pyogenic cholangitis is a frequent problem in eastern India , if left untreated it can lead to liver stones and infection causing liver cirrhosis and also ...