Sump syndrome of the remnant common bile duct following a living donor liver transplant
Sump syndrome – a collection of digested food, debris, stones, bile, and bacteria in a poorly drained, bile duct reservoir – occurs most commonly after a side-to-side choledochoduodenostomy. As choledochoduodenostomies are now less common, sump syndrome is more often characterized as a complication...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2021-09-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2021.1949794 |
| _version_ | 1797972701076258816 |
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| author | Gordon Robbins Justin Brilliant Yuting Huang Jonah Rubin Eric Goldberg Zurabi Lominadze |
| author_facet | Gordon Robbins Justin Brilliant Yuting Huang Jonah Rubin Eric Goldberg Zurabi Lominadze |
| author_sort | Gordon Robbins |
| collection | DOAJ |
| description | Sump syndrome – a collection of digested food, debris, stones, bile, and bacteria in a poorly drained, bile duct reservoir – occurs most commonly after a side-to-side choledochoduodenostomy. As choledochoduodenostomies are now less common, sump syndrome is more often characterized as a complication of Roux-en-Y hepaticojejunostomies; however, most cases occur at the hepaticojejunostomy anastomosis. We report a rare case of sump syndrome in the intra-pancreatic remnant common bile duct in a patient with primary sclerosing cholangitis following living donor liver transplant via Roux-en-Y hepaticojejunostomy. Our patient had a history of end-stage liver disease secondary to primary sclerosing cholangitis but presented with recurrent bacteremia and symptoms of acute cholangitis following her transplant. While this complication has not been reported in this population, we know that those with primary sclerosing cholangitis and those undergoing liver transplantation are at very high risk for biliary complications and strictures. Liver transplant is currently our only treatment for primary sclerosing cholangitis, and more than any other group, they are referred for living donor liver transplantation, preferably via Roux-en-Y hepaticojejunostomy. Thus, our patient’s clinical scenario is not uncommon and demonstrates a source of serious infection of which providers must be aware. |
| first_indexed | 2024-04-11T03:52:40Z |
| format | Article |
| id | doaj.art-104a86ff0d8e43579232ca917eceafb6 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:52:40Z |
| publishDate | 2021-09-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-104a86ff0d8e43579232ca917eceafb62023-01-02T01:24:49ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662021-09-0111566766910.1080/20009666.2021.19497941949794Sump syndrome of the remnant common bile duct following a living donor liver transplantGordon Robbins0Justin Brilliant1Yuting Huang2Jonah Rubin3Eric Goldberg4Zurabi Lominadze5University of Maryland Medical CenterJohns Hopkins University School of MedicineUniversity of Maryland Medical Center Midtown CampusUniversity of Maryland Medical CenterUniversity of Maryland School of MedicineUniversity of Maryland School of MedicineSump syndrome – a collection of digested food, debris, stones, bile, and bacteria in a poorly drained, bile duct reservoir – occurs most commonly after a side-to-side choledochoduodenostomy. As choledochoduodenostomies are now less common, sump syndrome is more often characterized as a complication of Roux-en-Y hepaticojejunostomies; however, most cases occur at the hepaticojejunostomy anastomosis. We report a rare case of sump syndrome in the intra-pancreatic remnant common bile duct in a patient with primary sclerosing cholangitis following living donor liver transplant via Roux-en-Y hepaticojejunostomy. Our patient had a history of end-stage liver disease secondary to primary sclerosing cholangitis but presented with recurrent bacteremia and symptoms of acute cholangitis following her transplant. While this complication has not been reported in this population, we know that those with primary sclerosing cholangitis and those undergoing liver transplantation are at very high risk for biliary complications and strictures. Liver transplant is currently our only treatment for primary sclerosing cholangitis, and more than any other group, they are referred for living donor liver transplantation, preferably via Roux-en-Y hepaticojejunostomy. Thus, our patient’s clinical scenario is not uncommon and demonstrates a source of serious infection of which providers must be aware.http://dx.doi.org/10.1080/20009666.2021.1949794bile duct diseasescholangitisendoscopic retrograde cholangiopancreatographyliver transplantationsclerosing cholangitis |
| spellingShingle | Gordon Robbins Justin Brilliant Yuting Huang Jonah Rubin Eric Goldberg Zurabi Lominadze Sump syndrome of the remnant common bile duct following a living donor liver transplant Journal of Community Hospital Internal Medicine Perspectives bile duct diseases cholangitis endoscopic retrograde cholangiopancreatography liver transplantation sclerosing cholangitis |
| title | Sump syndrome of the remnant common bile duct following a living donor liver transplant |
| title_full | Sump syndrome of the remnant common bile duct following a living donor liver transplant |
| title_fullStr | Sump syndrome of the remnant common bile duct following a living donor liver transplant |
| title_full_unstemmed | Sump syndrome of the remnant common bile duct following a living donor liver transplant |
| title_short | Sump syndrome of the remnant common bile duct following a living donor liver transplant |
| title_sort | sump syndrome of the remnant common bile duct following a living donor liver transplant |
| topic | bile duct diseases cholangitis endoscopic retrograde cholangiopancreatography liver transplantation sclerosing cholangitis |
| url | http://dx.doi.org/10.1080/20009666.2021.1949794 |
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