Charcot triad does not include
a. Charcot's cholangitis triad is the combination of jaundice; fever, usually with rigors; and right upper quadrant abdominal pain. Occurs as a result of ascending cholangitis.
b. When the presentation also includes hypotension and mental status changes, it is known as Reynold Pentad.
c. Patients with recurrent pyogenic cholangitis (RPC) commonly present with frequent episodes of pain, fever, and jaundice.
d. MRC and PTC are the primary imaging modalities for monitoring of disease progression ( Fig. 54-25 ). They are useful for identifying location and severity of stones and strictures and allow decompression of the biliary tree in a septic patient.
i. Patients with RPC should be treated with a multidisciplinary approach including endoscopists, interventional radiologists, and surgeons because of the frequency and inaccessibility of strictures and stones.
ii. The long-term goal of therapy is to extract stones, remove debris, and relieve strictures.
iii. About 50% of patients require further percutaneous choledochoscopy or balloon dilation to clear any remaining stones or manage persistent strictures.