Which of the following is not true regarding cholangitis: (A) Increased leucocyte count, (B) Decreased transaminases, (C) Increased alkaline phosphatase, (D) Association with fever and chills
Answer is B. Cholangitis It is characterized by charcot's triad od abdominal pain+ jaundice + fever There is leucocytosis, hyperbilirubinemia and raised ALP and transaminases Positive blood culture is more common in paial obstruction than with complete obstruction Cholangiography is mandatory as a diagnostic and potentially therapeutic intervention Ref: Sabiston 20th edition Pgno :1507