ISSN:
1432-0509
Keywords:
AIDS cholangiopancreatitis
;
Pancreatic duct stricture and dilatation-ampullary stenosis
;
Intrapancreatic bile duct stricture
;
IHD and EHD irregularities and strictures
;
Multiple infections
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract The cholangiographic and pancreatographic appearances of the acquired immunodeficiency syndrome (AIDS) associated cholangitis were evaluated in 26 patients. Twenty-four patients were diagnosed by retrograde cholangiography or endoscopic cholangiopancreatography (ERC or ERCP). One patient was diagnosed by T-tube cholangiography and another patient by transhepatic cholangiography. The radiographic findings ranged from intrahepatic ductal abnormalities with or without involvement of the extrahepatic biliary tree (eight patients) to irregularities and strictures involving the ampulla of Vater or the intrapancreatic portion of the common bile duct (CBD) with proximal dilatation (18 patients). Significant strictures involving the juxta-ampullary pancreatic duct were identified in six of 12 patients. Twenty-one of the 26 patients had associated infections which included: Cryptosporidium (CS), Mycobacterium avium intracellulare (MAI), cytomegalovirus (CMV), Microsporidium (MSP), and Isospora (ISP). Three patients were operated upon for acute acalculous cholecystitis. In each instance, organisms were identified in both the bile duct and the inflamed gallbladder.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00206928
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