CASE STUDY: BILIARY SEPSIS WITH A TWIST - DR STEVE KORBEL

A 75 yr old with a history of recently being diagnosed with gastric carcinoma, treated with a partial gastrectomy, presented with vomiting and fevers.

She had no other significant background medical history, however a recent PET scan had shown metastatic disease to her para-aortic lymph nodes.

On arrival to ED she was slightly jaundiced and was febrile at 38.5, other haemodynamics were normal.