Radiodiagnóstico, ComplejoHospital Clínico Universitario San Cecilio, España.
Radiodiagnóstico, Hospital Clínico Universitario San Cecilio.
Rev Esp Enferm Dig. 2021 Apr;113(4):298-299. doi: 10.17235/reed.2020.7095/2020.
Here, we present the case of a 51-year-old male with pain in the right hypochondrium, jaundice, fever, chills and septic shock. A computed tomography (CT) scan showed a juxtapapillary diverticulum with inflammatory changes, which caused bile duct ectasia and left biliary radicals. We considered this to be a septic shock of a biliary origin due to the cholangitis associated with Lemmel syndrome, with signs of juxtapapillary diverticulitis.
这里，我们呈现了一位 51 岁男性的病例，其右季肋部疼痛、黄疸、发热、寒战和感染性休克。计算机断层扫描（CT）显示一个紧邻乳头旁憩室的炎症改变，导致胆管扩张和左胆管分支。我们考虑这是由于 Lemmel 综合征相关的胆管炎引起的胆源性感染性休克，伴有紧邻乳头旁憩室炎的迹象。
