Sump syndrome of the remnant common bile duct following a living donor liver transplant
Date
2021-09-20Journal
Journal of Community Hospital Internal Medicine PerspectivesPublisher
Taylor and Francis Inc.Type
Article
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Show full item recordSee at
https://doi.org/10.1080/20009666.2021.1949794http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8462852/
Abstract
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.Rights/Terms
© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.Keyword
Bile duct diseasescholangitis
endoscopic retrograde cholangiopancreatography
liver transplantation
sclerosing cholangitis
Identifier to cite or link to this item
http://hdl.handle.net/10713/16740ae974a485f413a2113503eed53cd6c53
10.1080/20009666.2021.1949794
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