Septic cholangitis is mainly caused by bile duct stones, Escherichia coli infection, bile duct stenosis, biliary roundworms, etc. Patients often have epigastric pain, enlarged gallbladder, chills, high fever, jaundice and other symptoms, and in severe cases, generalized cyanosis, respiratory failure or hypotensive shock may occur.
When the patient’s bile ducts are obstructed or infected by pathogens, the bile ducts may accumulate pus and the pressure inside the bile ducts increases, leading to pyogenic cholangitis, and in severe cases, the bacterial endotoxin may also enter the blood circulation.
The clinical symptoms of pyogenic cholangitis are more serious, with an acute onset and rapid progression of the disease, and patients need to go to the local hospital as soon as possible. Patients with hypotensive shock should first be rehydrated to relieve the shock and prevent acute renal failure and respiratory failure. Patients may also need to undergo percutaneous hepatic bile duct drainage, choledochotomy and drainage to improve the obstruction.
Patients need to actively cooperate with the doctor’s treatment, with a view to controlling the infection as soon as possible.