Hepatic Abscess: A Rare Presentation of Sump Syndrome After Choledochojejunostomy.

Abstract

Sump syndrome is a rare complication of choledochoenterotomy. Patients with sump syndrome often have abdominal pain, recurrent cholangitis, pancreatitis, malabsorption, fever, an abnormal liver function test, and, rarely, hepatic abscess. Roux-en-Y choledochojejunostomy or hepaticojejunostomy has been advocated to prevent sump syndrome. We report an 80-year-old man who presented with a hepatic abscess secondary to sump syndrome 26 years after a Roux-en-Y choledochojejunostomy for recurrent cholangitis. Sump syndrome should be considered for patients who underwent biliary diversion surgery, regardless of the type of procedure or time from surgery.

• Authors: Hyaehwan Kim, Drew Triplett, Shannon Kauffman, Gregory Beck
• Journal: ACG case reports journal (ACG Case Rep J) Vol. 7 Issue 8 Pg. e00447 (Aug 2020) ISSN: 2326-3253 [Print] United States
• PMID: 32903919 (Publication Type: Case Reports)
• Copyright: © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.