Imaging of the biliary sump syndrome

Donald Hawes, R. E. Pelsang, R. C. Janda, C. C. Lu

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Side-to-side choledochoduodenostomy is a safe and effective surgical technique to improve biliary drainage in selected patients. The segment of common bile duct between the anastomosis and the ampulla of Vater may act as a stagnant reservoir or sump. When debris, stones, or infected bile accumulates in the sump, usually because of malfunction of the ampulla of Vater, recurrent abdominal pain or symptoms of cholangitis, pancreatitis, or biliary obstruction may develop. This uncommon (0.14-1.30%) complication is known as the sump syndrome. On imaging studies, diagnostic findings are debris or stone(s) in the common bile duct. Suggestive findings are dilated bile or pancreatic ducts, and changes due to pancreatitis, cholangitis, or liver abscess. Patients with this syndrome frequently have multiple imaging studies before the condition is recognized. The purpose of this essay is to illustrate the imaging findings of this syndrome.

Original languageEnglish (US)
Pages (from-to)315-319
Number of pages5
JournalAmerican Journal of Roentgenology
Volume158
Issue number2
StatePublished - 1992
Externally publishedYes

Fingerprint

Postcholecystectomy Syndrome
Ampulla of Vater
Cholangitis
Common Bile Duct
Pancreatitis
Choledochostomy
Liver Abscess
Pancreatic Ducts
Diagnostic Imaging
Bile Ducts
Bile
Abdominal Pain
Drainage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Hawes, D., Pelsang, R. E., Janda, R. C., & Lu, C. C. (1992). Imaging of the biliary sump syndrome. American Journal of Roentgenology, 158(2), 315-319.

Imaging of the biliary sump syndrome. / Hawes, Donald; Pelsang, R. E.; Janda, R. C.; Lu, C. C.

In: American Journal of Roentgenology, Vol. 158, No. 2, 1992, p. 315-319.

Research output: Contribution to journalArticle

Hawes, D, Pelsang, RE, Janda, RC & Lu, CC 1992, 'Imaging of the biliary sump syndrome', American Journal of Roentgenology, vol. 158, no. 2, pp. 315-319.
Hawes D, Pelsang RE, Janda RC, Lu CC. Imaging of the biliary sump syndrome. American Journal of Roentgenology. 1992;158(2):315-319.
Hawes, Donald ; Pelsang, R. E. ; Janda, R. C. ; Lu, C. C. / Imaging of the biliary sump syndrome. In: American Journal of Roentgenology. 1992 ; Vol. 158, No. 2. pp. 315-319.
@article{422a2b99f9e946668705d035ed1b16db,
title = "Imaging of the biliary sump syndrome",
abstract = "Side-to-side choledochoduodenostomy is a safe and effective surgical technique to improve biliary drainage in selected patients. The segment of common bile duct between the anastomosis and the ampulla of Vater may act as a stagnant reservoir or sump. When debris, stones, or infected bile accumulates in the sump, usually because of malfunction of the ampulla of Vater, recurrent abdominal pain or symptoms of cholangitis, pancreatitis, or biliary obstruction may develop. This uncommon (0.14-1.30{\%}) complication is known as the sump syndrome. On imaging studies, diagnostic findings are debris or stone(s) in the common bile duct. Suggestive findings are dilated bile or pancreatic ducts, and changes due to pancreatitis, cholangitis, or liver abscess. Patients with this syndrome frequently have multiple imaging studies before the condition is recognized. The purpose of this essay is to illustrate the imaging findings of this syndrome.",
author = "Donald Hawes and Pelsang, {R. E.} and Janda, {R. C.} and Lu, {C. C.}",
year = "1992",
language = "English (US)",
volume = "158",
pages = "315--319",
journal = "American Journal of Roentgenology",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "2",

}

TY - JOUR

T1 - Imaging of the biliary sump syndrome

AU - Hawes, Donald

AU - Pelsang, R. E.

AU - Janda, R. C.

AU - Lu, C. C.

PY - 1992

Y1 - 1992

N2 - Side-to-side choledochoduodenostomy is a safe and effective surgical technique to improve biliary drainage in selected patients. The segment of common bile duct between the anastomosis and the ampulla of Vater may act as a stagnant reservoir or sump. When debris, stones, or infected bile accumulates in the sump, usually because of malfunction of the ampulla of Vater, recurrent abdominal pain or symptoms of cholangitis, pancreatitis, or biliary obstruction may develop. This uncommon (0.14-1.30%) complication is known as the sump syndrome. On imaging studies, diagnostic findings are debris or stone(s) in the common bile duct. Suggestive findings are dilated bile or pancreatic ducts, and changes due to pancreatitis, cholangitis, or liver abscess. Patients with this syndrome frequently have multiple imaging studies before the condition is recognized. The purpose of this essay is to illustrate the imaging findings of this syndrome.

AB - Side-to-side choledochoduodenostomy is a safe and effective surgical technique to improve biliary drainage in selected patients. The segment of common bile duct between the anastomosis and the ampulla of Vater may act as a stagnant reservoir or sump. When debris, stones, or infected bile accumulates in the sump, usually because of malfunction of the ampulla of Vater, recurrent abdominal pain or symptoms of cholangitis, pancreatitis, or biliary obstruction may develop. This uncommon (0.14-1.30%) complication is known as the sump syndrome. On imaging studies, diagnostic findings are debris or stone(s) in the common bile duct. Suggestive findings are dilated bile or pancreatic ducts, and changes due to pancreatitis, cholangitis, or liver abscess. Patients with this syndrome frequently have multiple imaging studies before the condition is recognized. The purpose of this essay is to illustrate the imaging findings of this syndrome.

UR - http://www.scopus.com/inward/record.url?scp=0026500881&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026500881&partnerID=8YFLogxK

M3 - Article

VL - 158

SP - 315

EP - 319

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

SN - 0361-803X

IS - 2

ER -