Hallstone A, Triadafilopoulos G
Section of Gastroenterology, Martinez VA Medical Center, California.
Am J Gastroenterol. 1990 Nov;85(11):1518-20.
"Sump syndrome" is a rare complication of side-to-side choledochoenterostomy operations which develops in the distal, nonfunctioning limb of the common bile duct where lithogenic bile, gastrointestinal contents, and debris accumulate. We report here a patient who developed spontaneous sump syndrome as a result of the formation of choledochoduodenal fistula, and who presented with multiple pyogenic liver abscesses. The patient's symptoms and liver abscesses resolved completely after treatment by endoscopic sphincterotomy and antibiotics. This case demonstrates that sump syndrome may occur spontaneously, that it can be a cause for pyogenic liver abscess formation, and that it may be treated effectively by endoscopic sphincterotomy.
“贮液池综合征”是一种少见的胆总管侧侧吻合术并发症，发生于胆总管远侧无功能的肠袢内，此处可积聚致石性胆汁、胃肠道内容物及残渣。我们在此报告1例因胆总管十二指肠瘘形成而发生自发性贮液池综合征并出现多发性化脓性肝脓肿的患者。经内镜括约肌切开术及抗生素治疗后，患者症状及肝脓肿完全消失。该病例表明，贮液池综合征可自发发生，可导致化脓性肝脓肿形成，且内镜括约肌切开术可有效治疗该综合征。
