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Is It Really SUMP Syndrome? A Case Report
Sump syndrome is a rare, long-term complication with a prevalence ranging from 0% to 9.6% in patients with a history of side-to-side choledochoduodenostomy. Choledochoduodenostomy was originally performed to achieve drainage of the common bile duct in high-risk patients with low morbidity, which was...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827695/ https://www.ncbi.nlm.nih.gov/pubmed/31754572 http://dx.doi.org/10.7759/cureus.5837 |
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author | Suliman, Mohamed S Singh, Monider M Zaheer, Kamran Malik, Saad Ullah Abu-Hashyeh, Ahmad |
author_facet | Suliman, Mohamed S Singh, Monider M Zaheer, Kamran Malik, Saad Ullah Abu-Hashyeh, Ahmad |
author_sort | Suliman, Mohamed S |
collection | PubMed |
description | Sump syndrome is a rare, long-term complication with a prevalence ranging from 0% to 9.6% in patients with a history of side-to-side choledochoduodenostomy. Choledochoduodenostomy was originally performed to achieve drainage of the common bile duct in high-risk patients with low morbidity, which was commonly done in the pre-endoscopic retrograde cholangiopancreatography era. “Sump” comes from the segment of the common bile duct between the anastomosis and the ampulla of Vater, which acts as a stagnant reservoir for debris, stones, and static bile. This predisposes patients to changes in the biliary tree with signs and symptoms in relation to that area. If left untreated, cholangitis, pancreatitis, hepatic abscesses, and secondary biliary cirrhosis can develop. Here, we have a case of a 77-year-old male with a history significant for choledochoduodenostomy, who presented with the clinical signs and symptoms of pancreatitis, choledocholithiasis, and urinary tract infection. Computed tomography (CT) scan findings revealed choledocholithiasis and an enlarged common bile duct with smaller adjacent calculi along with pneumobilia consistent with sump syndrome. The patient’s clinical status improved without invasive measures being taken, i.e. endoscopic retrograde cholangiopancreatography. He was subsequently discharged home after improving clinically and no invasive measures were pursued. |
format | Online Article Text |
id | pubmed-6827695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-68276952019-11-21 Is It Really SUMP Syndrome? A Case Report Suliman, Mohamed S Singh, Monider M Zaheer, Kamran Malik, Saad Ullah Abu-Hashyeh, Ahmad Cureus General Surgery Sump syndrome is a rare, long-term complication with a prevalence ranging from 0% to 9.6% in patients with a history of side-to-side choledochoduodenostomy. Choledochoduodenostomy was originally performed to achieve drainage of the common bile duct in high-risk patients with low morbidity, which was commonly done in the pre-endoscopic retrograde cholangiopancreatography era. “Sump” comes from the segment of the common bile duct between the anastomosis and the ampulla of Vater, which acts as a stagnant reservoir for debris, stones, and static bile. This predisposes patients to changes in the biliary tree with signs and symptoms in relation to that area. If left untreated, cholangitis, pancreatitis, hepatic abscesses, and secondary biliary cirrhosis can develop. Here, we have a case of a 77-year-old male with a history significant for choledochoduodenostomy, who presented with the clinical signs and symptoms of pancreatitis, choledocholithiasis, and urinary tract infection. Computed tomography (CT) scan findings revealed choledocholithiasis and an enlarged common bile duct with smaller adjacent calculi along with pneumobilia consistent with sump syndrome. The patient’s clinical status improved without invasive measures being taken, i.e. endoscopic retrograde cholangiopancreatography. He was subsequently discharged home after improving clinically and no invasive measures were pursued. Cureus 2019-10-04 /pmc/articles/PMC6827695/ /pubmed/31754572 http://dx.doi.org/10.7759/cureus.5837 Text en Copyright © 2019, Suliman et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | General Surgery Suliman, Mohamed S Singh, Monider M Zaheer, Kamran Malik, Saad Ullah Abu-Hashyeh, Ahmad Is It Really SUMP Syndrome? A Case Report |
title | Is It Really SUMP Syndrome? A Case Report |
title_full | Is It Really SUMP Syndrome? A Case Report |
title_fullStr | Is It Really SUMP Syndrome? A Case Report |
title_full_unstemmed | Is It Really SUMP Syndrome? A Case Report |
title_short | Is It Really SUMP Syndrome? A Case Report |
title_sort | is it really sump syndrome? a case report |
topic | General Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827695/ https://www.ncbi.nlm.nih.gov/pubmed/31754572 http://dx.doi.org/10.7759/cureus.5837 |
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