Chapter 23. Biliary Emergencies

  1. Tony C. K. Tham MD, FRCP, FRCPI Consultant Gastroenterologist Head of School of Medicine4,5,
  2. John S. A. Collins MD Consultant Gastroenterologist6 and
  3. Roy M. Soetikno MD, MS Chief Associate Professor7,8
  1. Bhavani Moparty MD, MS Therapeutic Endoscopy Fellow1,2 and
  2. David L. Carr-Locke MB, Bchir, FRCP, FASGE Director3

Published Online: 9 FEB 2009

DOI: 10.1002/9781444303292.ch23

Gastrointestinal Emergencies, Second Edition

Gastrointestinal Emergencies, Second Edition

How to Cite

Moparty, B. and Carr-Locke, D. L. (2008) Biliary Emergencies, in Gastrointestinal Emergencies, Second Edition (eds T. C. K. Tham, J. S. A. Collins and R. M. Soetikno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303292.ch23

Editor Information

  1. 4

    The Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK

  2. 5

    Northern Ireland deanery, UK

  3. 6

    Royal Victoria Hospital, Belfast, Northern Ireland, UK

  4. 7

    GI Section, VA Palo Alto Health Care System, USA

  5. 8

    Stanford University, USA

Author Information

  1. 1

    Department of Gastroenterology, Brigham and Women's Hospital, Boston, MA, USA

  2. 2

    Department of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA

  3. 3

    The Endoscopy Institute, Brigham & Women's Hospital, Boston, MA, USA

Publication History

  1. Published Online: 9 FEB 2009
  2. Published Print: 28 NOV 2008

ISBN Information

Print ISBN: 9781405146340

Online ISBN: 9781444303292



  • biliary emergencies;
  • mild to moderate right upper quadrant tenderness or normal examination;
  • differential diagnosis of acute cholecystitis;
  • complete blood count to evaluate for leukocytosis;
  • mirizzi syndrome;
  • high surgical risk, critically ill patients;
  • choledocholithiasis;
  • Intraoperative cholangiography (IOC);
  • iatrogenic biliary tract injuries in laparoscopic cholecystectomy


This chapter contains sections titled:

  • Biliary ‘colic’

  • Acute cholecystitis

  • Mirizzi syndrome

  • Choledocholithiasis

  • Cholangitis

  • Bile leak

  • References