%0 Journal Article %A Dávila Arias, Cristina %A García Pérez, Patricia V %A Moya Sánchez, Elena %T Acute cholangitis in the context of Lemmel syndrome with signs of diverticulitis. %D 2021 %@ 1130-0108 %U http://hdl.handle.net/10668/16629 %X Here, we present the case of a 51-year-old male with pain in the right hypochondrium, jaundice, fever, chills and septic shock. A computed tomography (CT) scan showed a juxtapapillary diverticulum with inflammatory changes, which caused bile duct ectasia and left biliary radicals. We considered this to be a septic shock of a biliary origin due to the cholangitis associated with Lemmel syndrome, with signs of juxtapapillary diverticulitis. %~