Debnath Prasanta, Samanta Rahul, Sethy Pradeepta, Mobing Habung
Gastroeneterology, Medica Superspecialty Hospital, Kolkata, IND.
Gastroenterology, Topiwala National Medical College (TNMC) and BYL Nair Charitable Hospital, Mumbai, IND.
Cureus. 2025 Aug 6;17(8):e89481. doi: 10.7759/cureus.89481. eCollection 2025 Aug.
Before the period of endoscopic retrograde cholangiopancreatography (ERCP), individuals with biliary tract diseases would undergo side-to-side choledochoduodenostomy, and sump syndrome used to develop as a complication of this procedure. There is retention of bile along with debris or calculi, and refluxed duodenal contents in the common bile duct, which leads to biliary and pancreatic complications. This syndrome's pathophysiology often results when the distal common bile duct below the anastomosis becomes a blind pouch (), leading to stasis of bile, food debris, and bacteria, which can lead to obstruction and infection. Here, we present a case of sump syndrome as a rare complication of choledochojejunostomy. A patient with a history of post-choledochojejunostomy and redo hepaticojejunostomy, along with recurrent cholangitis, presented with abdominal pain, and initial radiological investigations suggested a pancreatic cyst. However, further endoscopic evaluation was done and revealed it to be a case of sump syndrome. ERCP followed by biliary sphincterotomy was done as a part of further management.
在内镜逆行胰胆管造影术（ERCP）出现之前，患有胆道疾病的患者会接受胆总管十二指肠侧侧吻合术，而贮袋综合征曾是该手术的一种并发症。胆汁与碎片或结石一起潴留，十二指肠内容物反流至胆总管，从而导致胆道和胰腺并发症。当吻合口下方的胆总管远端形成盲袋时，常引发该综合征的病理生理改变，导致胆汁、食物残渣和细菌淤滞，进而可引起梗阻和感染。在此，我们报告一例作为胆总管空肠吻合术罕见并发症的贮袋综合征病例。一名有胆总管空肠吻合术及再次肝空肠吻合术病史且反复发生胆管炎的患者，出现腹痛，最初的影像学检查提示胰腺囊肿。然而，进一步的内镜评估显示这是一例贮袋综合征病例。作为进一步治疗的一部分，进行了ERCP及胆道括约肌切开术。
