Liver Abscess Cholangitic

Cholangitic liver abscess: causes, symptoms and treatment

Cholangitic liver abscess, also known as cholangiogenic liver abscess, is a serious inflammatory disease characterized by the formation of a purulent lesion in the liver tissue due to the spread of infection from the bile ducts. This condition requires immediate medical attention as it can lead to various complications and have fatal consequences.

Causes of cholangitis liver abscess may include cholelithiasis, cholecystitis, bile duct diseases such as choledocholithiasis and severe, and surgical procedures on the bile ducts. The infection usually results from bacteria entering the bile ducts through the blood or from nearby organs such as the gallbladder or intestines.

The main symptoms of cholangitis liver abscess are pain in the right upper quadrant of the abdomen, fever, chills, loss of appetite, nausea, vomiting and general weakness. Patients may also experience jaundice, an enlarged liver, and increased levels of inflammatory markers in the blood.

Various techniques may be used to diagnose a cholangitis liver abscess, including ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and laboratory blood tests.

Treatment for a cholangitis liver abscess includes antibiotic therapy to combat the infection, drainage of the abscess, and in some cases, surgery may be required. Drainage of the abscess may be done with a fine needle under ultrasound or CT guidance, or it may be necessary to perform surgery to remove the purulent contents and drain it.

It is important to note that cholangitis liver abscess is a serious disease that requires complex and timely treatment. Patients with suspected liver abscess should consult a doctor for diagnosis and appropriate therapy.

In conclusion, cholangitis liver abscess is a dangerous condition that requires immediate intervention. If you have characteristic symptoms, you should consult a doctor to get professional help and prevent complications.



A liver abscess is an inflammatory process with the formation of a purulent cavity. As a rule, there are two reasons for the development of a liver abscess - infection of the gallbladder or bile ducts. The causes of the formation of abscesses in the liver can be inflammatory diseases of the biliary tract - cysts, hepatitis of viral origin and parasitic invasion of the liver, thrombosis in the biliary tract. The secondary type of abscess formation is more common - as a complication of ARVI and influenza, when a chlamydial infection penetrates through the tonsils. When an infection enters the liver, inflammation occurs and the flow of bile is disrupted. An abscess can form in various parts of the organ. It occurs on both the right and left sides. In the latter case, the cause is often infectious. When tissue necrosis is added to an abscess, the abscess is called cholangitis. The abscess is transformed under the influence of bile acids. The resulting strontium-chloride complex destroys the walls of the abscess. Considering the occurrence of cholangitis in cases of primary hepatitis, the disease mainly affects children; in adults, the pathology is less common. A simple method for preventing an abscess in the liver area is cholangioscopy. It allows you to detect the nature of tumors in the liver and recognize the cause of an abscess when it occurs. Researchers point to the pathogenetic mechanism for the development of ulcers in the liver as a result of tissue infiltration and disruption of the vital functions of the affected tissues. Thus, in the glass analysis, the largest number of neutrophil cells is noted in the abscissing tissue, and after opening, cholangitis is quite easily treated with antibiotics.