Are antibiotics alone enough?

Without relieving the obstruction, infection is rarely controlled — decompression is essential.

Cholangitis: Charcot and Reynolds Triads

Last updated: 27 Haziran 2026Medical content review: Op.Dr.Gökhan ATEŞ

Acute cholangitis is bacterial infection of the bile ducts on a background of obstruction. It often accompanies common bile duct stones and is an emergency requiring rapid decompression.

Charcot triad

Fever and chills
Jaundice
Right-upper-quadrant pain

Reynolds pentad (severe form)

When shock and altered mental status are added to the Charcot triad, this is called Reynolds pentad and requires emergency intervention.

Diagnosis

Leukocytosis, raised CRP and cholestatic liver enzymes; ultrasound and MRCP visualise the bile ducts.

Treatment

Broad-spectrum antibiotics
IV access and supportive care
Emergency ERCP for biliary decompression
Planned gallbladder surgery after stabilisation

Frequently Asked Questions

Emergency treatment is usually ERCP; suitable patients are scheduled for laparoscopic cholecystectomy later.

Common Bile Duct Stones (Choledocholithiasis)

CBD stones can cause jaundice, dark urine, pale stools and abdominal pain. Patient information about MRCP and ERCP.

ERCP

ERCP is an endoscopic procedure used to diagnose and treat bile duct stones, strictures and obstruction.

Jaundice and Bile Duct Obstruction

Jaundice can be caused by CBD stones, strictures or masses. Information about diagnosis and treatment.

Contact & Appointment

Share your existing ultrasound, MRCP, CT/MRI, blood tests or discharge summary to receive preliminary information about the process. A definitive evaluation is only possible after physical examination and the necessary investigations.

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The information on this page is provided for general patient education only and does not replace diagnosis, treatment or any surgical decision. An assessment appropriate for you can only be made after a clinical examination and the necessary investigations.