Korean J Gastrointest Endosc.  2008 Apr;36(4):228-232.

A Case of Small Intestinal Obstruction due to Bezoars Accompanied with Sump Syndrome

• Kim JH
• Yoo KS
• Park HC
• Lim TK
• Moon SY
• Chung YS
• Yoon SM
• Kim KO
• Chung YW
• Park CH
• Hahn T
• Park SH
• Kim JH
• Park CK

Abstract

Sump syndrome is one of the late complications of a side to side choledochoduodenostomy, but it is a rare malady. The anastomosis of the bile duct and small bowel results in exclusion of the distal limb of the common bile duct from drainage of bile with the potential formation of a sump. Food material and bile sludge may accumulate in distal segment of common bile duct and so this cause recurrent bile duct stones. Bezoars frequently result from disturbed passage of the gastrointestinal tract, especially after surgery, and it may develop various symptoms by irritating or obstructing the gastrointestinal tract. The bezoar accompanied with sump syndrome after choledochoenterostomy has not yet been reported in the literature. We report here on a case of small intestinal obstruction due to bezoars accompanied with sump syndrome.

Keyword

Sump syndrome; Common bile duct gallstones; Bezoar; Intestinal obstruction

MeSH Terms

Bezoars
Bile
Bile Ducts
Choledochostomy
Common Bile Duct
Drainage
Extremities
Gallstones
Gastrointestinal Tract
Intestinal Obstruction
Postcholecystectomy Syndrome
Sewage
Sewage