History of Cholangitis

This disease has been known since 1877 whenwherein:
Charcot gave the first description, relating the triadOn the clinical plan, nervous signs type of mental
of symptoms involving:confusion, lethargy and occurrence of septic shock.
- Pain in right hypochondrium;Bile pus under pressure in the presence of complete
- Fever with chills;obstruction of the bile duct. They entitle this as
- And Jaundice. In 1903, after Rogers noted in"acute obstructive cholangitis".
autopsy studies, the relationship between suppurative- Subsequently the term used by the Anglo-Saxon to
cholangitis, obstruction of bile ducts and liverdescribe these forms hyper-tank is that of "acute
abscesses, tried for the first time afterobstructive suppurative cholangitis"
unsuccessfully surgical decompression of the bile duct- Since the first description of surgical treatment by
in a patient who presented acute obstructiveRogers in 1903 and until 1969 a few publications are
suppuration.found in the literature.
In 1940 Cutler and Zollinger: insisted on the need for- In recent years, despite the persistence of poorly
early surgery.understood aspects in the pathogenesis, Some
In 1945, Grant reported 03 cases of acuteprogress has been made in understanding this disease
suppurative cholangitis secondary to lithiasisin the field of diagnostics and therapeutics:
obstruction of the bile duct. The patients survived- In the field of diagnosis must include the
after decompression, the same year Caroli createscontribution of some interesting technical news biliary
the concept of uremigene cholangitis .opacification and especially the contribution of
In 1947 Cole described cases of suppurativeultrasonography in the exploration of the liver and the
cholangitis in the bile duct obstruction in relatedbile duct in an emergency.
lithiasis, a cancer of the pancreas and stenosis.- From a therapeutic (treatment), greater control
In 1959 CAROLI and ANDRE clarify the concept ofresuscitation Preoperative (Hemodialysis for example),
uremigene cholangitis emphasizing the need tofacilitated by the use of new antibiotics more
correlate anatomical and clinical triad of Charcot andeffective on the bladder infection represent the most
the obstacle of the bile duct.interesting contribution. Their goal is to facilitate
- At the same time Reynolds and Dargan (USA)surgery.
individualize the acute form complicated Hyper-tank