Symptoma

Sump Syndrome

We present the case of a 64-year-old man with sump syndrome who presented with clinical signs of ascending cholangitis. [ncbi.nlm.nih.gov]

  • Asymptomatic

    In asymptomatic patients with prior CDD, abdominal radiograph shows air in the biliary tree. [ncbi.nlm.nih.gov]

  • Physician

    Management of the sump syndrome has been described as early as 1976 by physicians performing ERCP [ 6 ]. [ncbi.nlm.nih.gov]

  • Fever

    The vital signs were significant for high-grade fever (104 F), tachycardia (heart rate of 102 beats per minute), and hypotension (blood pressure of 95/65 mm Hg). [ncbi.nlm.nih.gov]

  • Falling

    That sounds more like a dead cat bounce after the sharp fall of 9.4 per cent in the last half of last year. [today.line.me]

  • Hypertension

    Case Description A 64-year-old Hispanic man with a past medical history of type 2 diabetes, hypertension, dyslipidemia, benign prostatic hypertrophy, Parkinson's disease, multiple hepatic abscesses, alcohol abuse, history of cholecystectomy and revision [ncbi.nlm.nih.gov]

  • Tachycardia

    The vital signs were significant for high-grade fever (104 F), tachycardia (heart rate of 102 beats per minute), and hypotension (blood pressure of 95/65 mm Hg). [ncbi.nlm.nih.gov]

  • Jaundice

    It can present with a variety of symptoms and clinical pictures such as recurrent pancreatitis, colicky pain, jaundice, and cholangitis. [ncbi.nlm.nih.gov]

  • Suggestibility

    In symptomatic patients, plain film demonstration of calcification in the right upper quadrant or pneumobilia and debris-filled dilated biliary ducts suggests sump syndrome as clinical diagnosis. [ncbi.nlm.nih.gov]

  • Confusion

    A few hours after admission to the hospital, the patient developed severe hypotension, hypoxia, and confusion. He was immediately transferred to ICU and was intubated. [ncbi.nlm.nih.gov]

  • Dyslipidemia

    Case Description A 64-year-old Hispanic man with a past medical history of type 2 diabetes, hypertension, dyslipidemia, benign prostatic hypertrophy, Parkinson's disease, multiple hepatic abscesses, alcohol abuse, history of cholecystectomy and revision [ncbi.nlm.nih.gov]

Treatment and prognosis Treatment typically involves endoscopic sphincterotomy, which allows decompression of the CBD distal to the level of ampulla 2. Reoccurrence is mainly due to heavy stone burden and stricturing disease. [radiopaedia.org]

The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article. [ncbi.nlm.nih.gov]

Treatment and prognosis Treatment typically involves endoscopic sphincterotomy, which allows decompression of the CBD distal to the level of ampulla 2. Reoccurrence is mainly due to heavy stone burden and stricturing disease. [radiopaedia.org]

The etiology, clinical manifestations, and treatment of biliary sump syndrome are discussed in this article. [ncbi.nlm.nih.gov]

According to Marbet et al. [ 13 ], reduced filling pressure as well as reduced peristalsis and drainage of the distal CBD caused by the upstream anastomosis play an important role in the pathophysiology of sump syndrome. [ncbi.nlm.nih.gov]

A side-to-side choledochoduodenostomy is a procedure where a communication is formed between the mid-common bile duct and duodenum to prevent recurrent choledocholithiasis or biliary obstruction. [radiopaedia.org]