Recurrent Pyogenic Cholangitis
Recurrent Pyogenic Cholangitis is charechterized by recurrent attacks of bacterial cholangitis in association with intrahepatic obstruction and pigment stone formation.
The primary insult to the epithelium is usually due to infection with helminths such as Ascaris lumbricoides or with trematodes like Chlonorchis sinensis (this case) on which bacterial seeding occurs.
The recurrent attacks has a tendency to turn into malignancy: C.sinensis is notoriously known in causing bile duct carcinoma