{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:59:15Z","timestamp":1777395555862,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T00:00:00Z","timestamp":1730332800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>It is important to consider the diagnosis of Sump syndrome in patients with a history of open cholecystectomy, particularly in those who migrate from developing countries where alternative biliary interventions may be limited. The presentation may range from acute severe, mimicking acute ascending cholangitis, to chronic recurrent abdominal pain without evidence of inflammation. Management is a case\u2010by\u2010case decision, with principal management aims to decompress the biliary tract and address any underlying sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Sump syndrome is a rare and often long\u2010term complication of choledochoduodenostomy (CDD). The presentation and severity are variable, and management should be tailored to each patient based on several factors. Herein, we report three cases of sump syndrome, each demonstrating unique diagnostic dilemmas and therapeutic modalities. Case I describes a woman presenting with acute cholangitis, managed with percutaneous transhepatic cholangiography (PTC) and endoscopic retrograde cholangiopancreatography (ERCP). Case II illustrates a similar presentation complicated by myocardial infarction, necessitating urgent biliary decompression via PTC and subsequent unsuccessful endoscopic stenting. Case III highlights the diagnostic difficulty in a stable patient with inconclusive diagnostic imaging. This case series emphasizes the importance of considering sump syndrome diagnosis in patients with a history of CDD or open cholecystectomy, especially in elderly patients and those who come from regions where alternative biliary interventions may be limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.9378","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:07:29Z","timestamp":1730419649000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sump syndrome: Diagnosis dilemmas and therapeutic approaches\u2014A case series"],"prefix":"10.1002","volume":"12","author":[{"given":"Shahem","family":"Abbarh","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6751-619X","authenticated-orcid":false,"given":"Bisher","family":"Sawaf","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9549-8352","authenticated-orcid":false,"given":"Hussam","family":"Almasri","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of North Dakota  Fargo North Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girisha","family":"Balaraju","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mhd Kutaiba","family":"Albuni","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Trihealth Good Samaritan Hospital  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4387-320X","authenticated-orcid":false,"given":"Shaher","family":"Abbarah","sequence":"additional","affiliation":[{"name":"Department of General Surgery College of Medicine, Almaarefa University  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4019-1185","authenticated-orcid":false,"given":"Ashraf I.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"},{"name":"College of Medicine, QU Health, Qatar University  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdellatif","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Maryland Medical Center\u2010Midtown Campus  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad Rashid Mohammad","family":"Al\u00a0Kaabi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,31]]},"reference":[{"key":"e_1_2_12_2_1","article-title":"Is it really SUMP syndrome?","volume":"11","author":"Suliman MS","year":"2019","journal-title":"A Case Report Cureus"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005340050182"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000369298"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1313-6"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2017.0082"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2020.08.014"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1499-3872(11)60043-X"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/20009666.2021.1949794"},{"key":"e_1_2_12_10_1","first-page":"74","article-title":"Endoscopic sump syndrome secondary to EUS\u2010guided choledocho\u2010duodenostomy with a lumen\u2010apposing metal stent","volume":"111","author":"Mosquera\u2010Klinger G","year":"2019","journal-title":"Rev Esp Enferm 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