Early ERCP for severe cholangitis? Of course!

Jean-Martin Charcot (1825-1893), a member of the Faculté de Médicin at the famous Hôpital Salpêtrière in Paris, a neurologist and professor of anatomic pathology, in 1877 brought attention to the "maladies du foie et des voie biliare"1 and the entity of "fièvre intermittente hépatique" characterized by the triad of jaundice, right upper quadrant pain, and fever, which came to be one of his eponymous legacies. This condition later became known as ascending cholangitis, based on the belief that infection always ascended from the duodenum through an incompetent sphincter of Oddi.

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