Stuck in the Sump: A Rare Complication of Biliary Surgery
2024

Sump Syndrome: A Rare Complication of Biliary Surgery

publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Wagner Daniel F, Sowunmi Leanne, Driscoll Ross

Primary Institution: Western Michigan University Homer Stryker M.D. School of Medicine

Hypothesis

Sump syndrome should be considered as a diagnosis in patients with cholangitis or pancreatitis who have a history of biliary diversion.

Conclusion

The case presented affirms MRCP as a valuable diagnostic tool for sump syndrome and highlights an early occurrence of this typically late-presenting complication.

Supporting Evidence

  • Sump syndrome is rarely seen in the ERCP era, with a prevalence of 0 - 9.6%.
  • The patient presented two years after her choledochoduodenostomy, which is unusually early for sump syndrome.
  • Diagnosis and treatment of sump syndrome can occur simultaneously through ERCP.

Takeaway

Sump syndrome is a rare problem that can happen after certain surgeries on the bile duct, and it can cause serious issues like pain and infection. Doctors need to look for it in patients who have had these surgeries.

Methodology

The case study involved a 61-year-old female patient diagnosed with sump syndrome through clinical signs, imaging studies, and ERCP.

Limitations

The study is based on a single case report, which may limit the generalizability of the findings.

Participant Demographics

The patient was a 61-year-old female with a history of cholecystectomy, type 2 diabetes, and alcohol use disorder.

Digital Object Identifier (DOI)

10.7759/cureus.75090

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