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Charcot's triad.

Jean Louis Frossard1, Florent Bonvin

  • 1Service of Gastroenterology and Hepatology, Geneva University Hospitals, Rue Gabrielle Perret Gentil 24, 1211 Geneva, Switzerland.

International Journal of Emergency Medicine
|May 18, 2011
PubMed
Summary
This summary is machine-generated.

This case highlights huge gallstones obstructing the common bile duct, causing severe cholangitis and septic shock. Prompt percutaneous biliary drainage and subsequent surgery resolved the life-threatening condition.

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Surgical Gastroenterology

Background:

  • Gallstones commonly form in the gallbladder but can migrate to the common bile duct.
  • Impacted common bile duct stones can lead to serious complications like acute cholangitis and septic shock.
  • De novo formation of stones in the common bile duct is also possible.

Purpose of the Study:

  • To present a case of massive gallstones impacted in the common bile duct.
  • To describe the management of acute cholangitis and septic shock secondary to impacted gallstones.
  • To emphasize the importance of timely biliary drainage in managing severe cholangitis.

Main Methods:

  • Case report of a patient with huge gallstones.
  • Nocturnal percutaneous cholangiography for biliary drainage.
  • Surgical removal of impacted gallstones.

Main Results:

  • Successful biliary drainage and resolution of acute cholangitis and septic shock.
  • Large gallstones were surgically removed.
  • The patient's condition improved after intervention.

Conclusions:

  • Prompt biliary drainage is crucial for managing acute cholangitis and septic shock.
  • Surgical intervention may be necessary for large or impacted common bile duct stones.
  • Physicians should consider cholangitis in elderly patients presenting with fever and jaundice.