euro-infectious-diseases-2017-posters-accepted-abstracts

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Volume 5, Issue 6(Suppl)

J Infect Dis Ther, an open access journal

ISSN: 2332-0877

Euro Infectious Diseases 2017

September 07-09, 2017

September 07-09, 2017 | Paris, France

Infectious Diseases

Euro-Global Conference on

J Infect Dis Ther 2017, 5:6(Suppl)

DOI: 10.4172/2332-0877-C1-033

Recurrent cholangitis associatedwithbiliary sludge andPhrygian cap anomaly diagnosedbymagnetic

resonance imaging and magnetic resonance cholangiopancreatography despite normal ultrasound

and computed tomography.

Basaranoglu Metin

Bezmialem Vakif University Faculty Hospital, Istanbul, Turkey

31-year-old woman presented with a one and half years' history of intermittent right upper quadrant (RUQ) pain, high

fever and severely painful, warm and reddish swollen skin lesions on the fingers. Acute attack resolution occurred within

2 weeks after treatment with non-specific antibiotics. Low-grade fever (around 37.5 degrees C) and less painful swellings

continued for 6 months after each attack. Abdominal ultrasound and computed tomography (CT) scans did not show any

abnormality during the attacks. Biopsy of the skin lesions after the second attack revealed lymphocytic vasculitis. All laboratory

studies including rheumatologic serology panel were normal. One month after the complete resolution of the second attack,

the patient was observed to have high fever, the same skin lesions on the fingers as at the initial stage, nausea and marked

abdominal pain in the RUQ. Routine laboratory studies including complete blood count, liver function tests and serum amylase

and lipase levels were normal. An abdominal CT scan revealed a slight thickening of the gallbladder wall (3.9 mm). Two

weeks later, abdominal magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography (MRCP) were

performed because of persistent abdominal pain. They revealed both biliary tract and pancreatic gland alterations consistent

with past cholangitis and pancreatitis with coexisting Phrygian cap anomaly and biliary sludge on the neck of the gallbladder.