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Presenting as Gram-Negative Septicemia

Michael Zer, MD; Chaim Chaimoff, MD; Moshe Dintsman, MD; Irena Glanz, MD

AMA Arch Surg. 1973;106(2):225-227.

Abstract
A rare case of cystic dilation of the intrahepatic bile ducts, without involvement of the choledochus was complicated by severe gram-negative septicemia, presented with an atypical clinical picture, and had a fulminating course.

Although presenting in adult patients, it is assumed that, in accordance with the literature, this anomaly is congenital in origin. Secondary obstructive and infective factors, however, may influence the picture. The relative ineffectiveness of any treatment in these cases is mentioned, which contrasts with cases of solitary choledochal cyst.

Author Affiliations
Petah Tiqva, Israel

From the Surgical Department "A," and Radiological Institute, Shatkai Outpatient Clinic, Beilinson Hospital, Petah Tiqva, Israel, and Tel Aviv University Medical School.

Footnotes
Accepted for publication Aug 30, 1972.

Reprint requests to Surgical Department "A," Beilinson Hospital, Petah Tiqva, Israel (Dr. Zer).

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