“Shock séptico secundario a colangitis”

Abstract

The cholangitis is pathology of relative frequency that produces a really dramatic illness that puts the patient's life at risk, being its precursor the choledocholithiasis either of primary or secondary origin, which occurs frequently in our society due to factors of prevalent risk in our environment. 95% of cases of cholangitis are caused by stones from the gallbladder; the remaining 5% has its origin in intra or extrahepatic ducts. The formation of stones has a complex pathophysiology with hereditary and alimentary components. The opportune diagnosis allows to make fast and effective decisions for the therapeutic of the picture, the delay in the therapeutic action produces the progression towards a sepsis and later septic shock with the consequent multiorgan failure that in a high percentage causes the death of the patient.

The treatment of choice is the decompression of the biliary tract by retrograde endoscopic cholangio pancreatography as the first option, which is a timely, low cost, early recovery and good prognosis, however, sometimes it does not solve the problem and surgery is urgently needed.

The adequate and multidisciplinary management improves the prognosis and reduces the potential complications during the hospital stay.