The hepatobiliary system is affected by cholangitis, which is a dangerous condition that poses a threat to health and life. Within the scope of this study, an update is provided concerning the clinical and pathological characteristics of the various types of cholangitis. Imaging examination of the hepatobiliary system has become an important technique in the treatment of cholangitis in recent years. There are a number of modalities that are often utilized as diagnostic and therapeutic techniques. Three of these modalities are endoscopic retrograde cholangiography, magnetic resonance cholangiopancreatography, and endoscopic ultrasonography. The progression of cholangitis must be controlled by the utilization of biliary drainage operations that are performed using these approaches. Despite the fact that immunosuppressive medicines have also been shown to provide clinical responses in idiopathic adenocarcinoma (IAC), there have been reports of promising findings regarding the function of antibiotic treatment in the management of the disease. In general, surgical operations in patients with cholangitis are limited to those individuals in whom other therapeutic options have been unsuccessful. This is due to the high rate of problems that frequently arise after surgical procedures.