{"title":"From Diagnosis to Treatment of an Extreme Case of Sump Syndrome Presenting With Cholangitis.","authors":"Ahmet Tanyeri","doi":"10.1002/jcu.24089","DOIUrl":null,"url":null,"abstract":"<p><p>This case report presents an extreme sump syndrome complicated by acute cholangitis. The patient, who underwent a Roux-en-Y hepaticojejunostomy (HJ) for a Type 1 choledochal cyst 10 years ago, had imaging findings of debris filling both lobes of the intrahepatic bile ducts (IHBD) and obstructing the anastomosis. Surgical or endoscopic intervention was not feasible, so percutaneous biliary drainage was performed. Two sequential procedures were performed. Initially, a 12F biliary drainage catheter was used, and saline irrigation was applied to facilitate debris resolution. However, after the removal of the catheter, residual debris obstructed the HJ anastomosis. In the second procedure, a balloon was used to displace the debris into the duodenum. The patient's acute cholangitis resolved within a week, and no further complications were observed during a one-year follow-up.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.24089","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
引用次数: 0
Abstract
This case report presents an extreme sump syndrome complicated by acute cholangitis. The patient, who underwent a Roux-en-Y hepaticojejunostomy (HJ) for a Type 1 choledochal cyst 10 years ago, had imaging findings of debris filling both lobes of the intrahepatic bile ducts (IHBD) and obstructing the anastomosis. Surgical or endoscopic intervention was not feasible, so percutaneous biliary drainage was performed. Two sequential procedures were performed. Initially, a 12F biliary drainage catheter was used, and saline irrigation was applied to facilitate debris resolution. However, after the removal of the catheter, residual debris obstructed the HJ anastomosis. In the second procedure, a balloon was used to displace the debris into the duodenum. The patient's acute cholangitis resolved within a week, and no further complications were observed during a one-year follow-up.
期刊介绍：
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
