title: Septic Shock Due to Biliary Stones in a Postcholecystectomy Patient.
abstract: Septic shock leading to multi-organ failure is not uncommon. Early diagnosis to confirm the source is the distinctive attribute of sepsis management guidelines. Cholangitis as the source of sepsis can become a diagnostic dilemma in patients who have had cholecystectomy in the past. CT abdomen should be the investigation of choice in this group of patients. This report describes two postcholecystectomy patients who presented with septic shock secondary to biliary stones. The source of septic shock in both patients were biliary stones was confirmed with abdominal CT. Ultrasound abdomen failed to report biliary stones in these patients. Both improved on percutaneous transhepatic biliary drainage.
authors.affiliation: Department of Critical Care, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Mohammad Feroz
authors.initials: MF
authors.lastname: Azfar
authors.affiliation: Department of Critical Care, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Muhammad Faisal
authors.initials: MF
authors.lastname: Khan
authors.affiliation: Department of Critical Care, King Khalid University Hospital, King Saud University, Riyadh, KSA.
authors.forename: Moazzum
authors.initials: M
authors.lastname: Khursheed
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002761:Cholangitis / Q000150:complications / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic; D004322:Drainage; D042882:Gallstones / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy; D012772:Shock, Septic / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome