Clinical features
The clinical features of oriental cholangiohepatitis may include:
- pigment stones - usually initiated by secondary infection of the bile ducts by E. coli
- biliary obstruction - usually unaccompanied by gallbladder stones
- biliary strictures - located in the intrahepatic bile ducts, and most frequently in the left lobe of the liver
- intrahepatic stones
- hepatic abscess
- acute abdominal pain, often in right upper quadrant
- chills and fever
- jaundice - in about half of cases
- palpable gall bladder
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