[Contribution to the problem of shock as trigger mechanism in secondary acute cholecystitis (SACH). Fibrinoid thrombi in possible precurser state (author's transl)].

Causal connection between shock and SACH has been suggested on the basis of clinical analysis. In a case of cardiogenic shock demonstrating criteria of initial SACH, successful identification of intravascular fibrinoid thrombi is presented as valid evidence for this pathogenetic presumption.