Case Presentation: A 78 year old female with history of previous cholecystitis s/p cholecystectomy in 1950s complicated by recurrent choledocholithiasis and cholangitis presented with a 1 day history of chills, epigastric abdominal pain, nausea and vomiting. Patient had recurrent episodes almost yearly, characterized by these symptoms. Similar to prior episodes, labs were indicative of biliary [...]