[Angiocholitis and polymicrobial septicemia caused by food obstruction in a patient with a biliodigestive anastomosis].
A case of angiocholitis with polymicrobic septicemia in an 85-year-old man with a history of cholecystectomy and choledocho-duodenal anastomosis is reported. The biliary tract was obstructed by a piece of tomato skin. Antibiotherapy and fibroscopic extraction of the skin ensured recovery. The authors recall the low incidence of polymicrobic septicemias, diagnostic criteria, promoting factors, poor prognosis, and the responsibility of digestive reflux and above all of stasis and high pressure in angiocholitis and septicemia following biliodigestive anastomosis.
D000368:Aged; D002761:Cholangitis / Q000209:etiology*; D003135:Common Bile Duct / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005502:Food; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology
Angiocholite et septicémie polymicrobienne par obstacle alimentaire dans une anastomose bilio-digestive.