Dávila Arias, CristinaGarcía Pérez, Patricia VMoya Sánchez, Elena2023-02-092023-02-0920211130-0108http://hdl.handle.net/10668/16629Here, 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.enCholangitisDiverticulitisDiverticulumDuodenal DiseasesHumansJaundiceMaleMiddle Agedresearch article33207900open access10.17235/reed.2020.7095/2020https://doi.org/10.17235/reed.2020.7095/2020