Fig. 16
Cholangitis and sepsis in an 81-year-old female following endoscopic stone removal using a Fogarty catheter. Multiplanar contrast-enhanced CT images showed minimal pneumoperitoneum (arrowheads) and peritoneal effusion, thickened enhancing walls of CBD and main intrahepatic ducts (thin arrows). Additionally, left-sided pneumonia (* in c) and a limited renal infarct (arrow in d) were seen. Worsening clinical conditions dictated surgery, which revealed biliary peritonitis from contained cystic duct injury. The patient recovered after a long intensive care unit stay