Acute Cholangitis

  • Always think about cholangitis in any ill-appearing patient with RUQ pain or undifferentiated sepsis.
  • Charcot’s triad and Reynold’s pentad are not reliable. Absence of these clinical findings does not rule out cholangitis.  Use the total picture with clinical exam, labwork, and imaging studies.
  • Early antibiotics and consultation for biliary decompression are mainstays of therapy.


The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.