Ridruejo Sáez R, Jiménez Bartolomé B
Servicio de Medicina Intensiva, Hospital Clínico Universitario Lozano Blesa, Zaragoza.
An Med Interna. 2006 Jul;23(7):335-7. doi: 10.4321/s0212-71992006000700009.
Cholangiocarcinomas are malignancies of the biliary duct system. They are encountered in 3 geographic regions: intrahepatic, proximal extrahepatic, and distal extrahepatic. The etiology of most bile duct cancers remains undetermined but some risk factors, like gallstone, have been suggested to play a role by inducing malignant transformation. The prognosis and clinical manifestations depend on the anatomical location and clinical presentation may be confuses or by means of complications like sepsis. We present a case of cholangiocarcinoma which made debut with cholestasis and sepsis in a cholecystectomiced patient, who had a long standing lithiasic cholecystitis.
