Mujer de 70 años que ingresa por colecistitis aguda y coledocolitiasis con deterioro clínico a las 12h por shock séptico secundario a colangitis. Se solicita CPRE urgente en la que se detecta dilatación de vía biliar proximal secundaria a compresión por un cálculo de2cm enclavada en cístico (fig. 1). Dada la situación clínica se implanta una prótesis plástica doble pig-tail para aliviar la obstrucción biliar (fig. 2), realizando colecistectomía parcial y cierre sobre tubo Kehr con extracción de la litiasis a los 11 días tras mejoría del estado de la paciente.
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Se solicita CPRE urgente en la que se detecta dilatación de vía biliar proximal secundaria a compresión por un cálculo de<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>cm enclavada en cístico (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). 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