Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy
Sump syndrome is a rare long-term complication of side-to-side choledochoduodenostomy (CDD), a common surgical procedure in patients with biliary tract disease in the era before endoscopic retrograde cholangiopancreatography (ERCP). Frequently only pneumobilia, serving as sign for functioning biliar...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2014-11-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/369298 |
| _version_ | 1819007488193724416 |
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| author | Ulf Zeuge Martin Fehr Christa Meyenberger Michael Christian Sulz |
| author_facet | Ulf Zeuge Martin Fehr Christa Meyenberger Michael Christian Sulz |
| author_sort | Ulf Zeuge |
| collection | DOAJ |
| description | Sump syndrome is a rare long-term complication of side-to-side choledochoduodenostomy (CDD), a common surgical procedure in patients with biliary tract disease in the era before endoscopic retrograde cholangiopancreatography (ERCP). Frequently only pneumobilia, serving as sign for functioning biliary-enteric anastomosis, is reminiscent of the former surgery. We present the case of an 81-year-old patient with sump syndrome who presented with clinical signs of ascending cholangitis, decades after the initial CDD procedure. Finally the detailed medical history that was taken very thoroughly in combination with the presence of pneumobilia led to the suspicion of sump syndrome. Sump syndrome was diagnosed by ERCP, and after endoscopic debris extraction and antibiotic treatment the patient recovered quickly. In the ERCP era little is known about CDD and its long-term complications, especially by young colleagues and trainees. Therefore this report provides an excellent opportunity to refresh the knowledge and raise awareness for this syndrome. |
| first_indexed | 2024-12-21T00:25:22Z |
| format | Article |
| id | doaj.art-83f0f16110a54768849e0276f947c180 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-21T00:25:22Z |
| publishDate | 2014-11-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-83f0f16110a54768849e0276f947c1802022-12-21T19:22:00ZengKarger PublishersCase Reports in Gastroenterology1662-06312014-11-018335836310.1159/000369298369298Mind the Sump! - Diagnostic Challenge of a Rare Complication of CholedochoduodenostomyUlf ZeugeMartin FehrChrista MeyenbergerMichael Christian SulzSump syndrome is a rare long-term complication of side-to-side choledochoduodenostomy (CDD), a common surgical procedure in patients with biliary tract disease in the era before endoscopic retrograde cholangiopancreatography (ERCP). Frequently only pneumobilia, serving as sign for functioning biliary-enteric anastomosis, is reminiscent of the former surgery. We present the case of an 81-year-old patient with sump syndrome who presented with clinical signs of ascending cholangitis, decades after the initial CDD procedure. Finally the detailed medical history that was taken very thoroughly in combination with the presence of pneumobilia led to the suspicion of sump syndrome. Sump syndrome was diagnosed by ERCP, and after endoscopic debris extraction and antibiotic treatment the patient recovered quickly. In the ERCP era little is known about CDD and its long-term complications, especially by young colleagues and trainees. Therefore this report provides an excellent opportunity to refresh the knowledge and raise awareness for this syndrome.http://www.karger.com/Article/FullText/369298PneumobiliaSump syndromeBiliary tract diseaseCholangitisCholedochoduodenostomyEndoscopic retrograde cholangiopancreatographyComplication |
| spellingShingle | Ulf Zeuge Martin Fehr Christa Meyenberger Michael Christian Sulz Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy Case Reports in Gastroenterology Pneumobilia Sump syndrome Biliary tract disease Cholangitis Choledochoduodenostomy Endoscopic retrograde cholangiopancreatography Complication |
| title | Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy |
| title_full | Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy |
| title_fullStr | Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy |
| title_full_unstemmed | Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy |
| title_short | Mind the Sump! - Diagnostic Challenge of a Rare Complication of Choledochoduodenostomy |
| title_sort | mind the sump diagnostic challenge of a rare complication of choledochoduodenostomy |
| topic | Pneumobilia Sump syndrome Biliary tract disease Cholangitis Choledochoduodenostomy Endoscopic retrograde cholangiopancreatography Complication |
| url | http://www.karger.com/Article/FullText/369298 |
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