Don’t Forget about the Sump! An Uncommon Complication Many Years after a Choledochoduodenostomy
| Autor: | Carlos Ernesto Morales, María Fernanda Chimal, Eric Misael Saucedo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry General surgery Medical record Gastroenterology complication Sump Syndrome Anastomosis Pneumobilia medicine.disease medicine.anatomical_structure cholangitis Case and Review medicine lcsh:Diseases of the digestive system. Gastroenterology Sump (cave) lcsh:RC799-869 Complication business sump syndrome choledochoduodenostomy |
| Zdroj: | Case Reports in Gastroenterology, Vol 15, Iss 1, Pp 365-371 (2021) Case Reports in Gastroenterology |
| ISSN: | 1662-0631 |
| Popis: | Bilioenteric anastomoses were common interventions before the rise of minimal invasion procedures, specifically, before endoscopic retrograde cholangiopancreatography. During a choledochoduodenostomy (CDS) the distal part of the common bile duct is excluded from the bile drainage and behaves as a “sump,” a poorly drained part that works as a reservoir which is responsible of the development of complications of the bilio-pancreatic tract. The consequent sump syndrome is a rare medical complication that presents a diversity of symptoms, for which there is no well-defined diagnostic algorithm. We present the case of a 72-year-old male patient with multiple comorbidities. He presented to the ER because of recurrent episodes of cholangitis; after having obtained the patient’s medical records, lab and image studies, the latter showed pneumobilia. After considering all the results plus the pneumobilia we suspect the presence of this uncommon complication of CDS. The patient was subjected to an unsuccessful endoscopic treatment followed by surgery, after which he showed signs of improvement and adequate evolution till hospital discharge. |
| Databáze: | OpenAIRE |
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