{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T02:41:00Z","timestamp":1759718460387,"version":"build-2065373602"},"reference-count":12,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>This case report presents an extreme sump syndrome complicated by acute cholangitis. The patient, who underwent a Roux\u2010en\u2010Y hepaticojejunostomy (HJ) for a Type 1 choledochal cyst 10\u2009years ago, had imaging findings of debris filling both lobes of the intrahepatic bile ducts (IHBD) and obstructing the anastomosis. Surgical or endoscopic intervention was not feasible, so percutaneous biliary drainage was performed. Two sequential procedures were performed. Initially, a 12F biliary drainage catheter was used, and saline irrigation was applied to facilitate debris resolution. However, after the removal of the catheter, residual debris obstructed the HJ anastomosis. In the second procedure, a balloon was used to displace the debris into the duodenum. The patient's acute cholangitis resolved within a week, and no further complications were observed during a one\u2010year follow\u2010up.<\/jats:p>","DOI":"10.1002\/jcu.24089","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T01:25:01Z","timestamp":1748049901000},"page":"1924-1928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Diagnosis to Treatment of an Extreme Case of Sump Syndrome Presenting With Cholangitis"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1097-1172","authenticated-orcid":false,"given":"Ahmet","family":"Tanyeri","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Radiology Ayd\u0131n Adnan Menderes University  Ayd\u0131n Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"issue":"3","key":"e_1_2_8_2_1","article-title":"Sump Syndrome: Diagnosis Dilemmas and Therapeutic Approaches\u2014A Case Series","volume":"12","author":"Abbarh S.","year":"2024","journal-title":"Clinical Case Reports"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.916364"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70415-9"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"255","article-title":"Percutaneous \u2018Y\u2019 Biliary Stent Placement in Palliative Treatment of Type 4 Malignant Hilar Stricture","volume":"7","author":"Corvino F.","year":"2016","journal-title":"Journal of Gastrointestinal Oncology"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.01.036"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10396-015-0624-6"},{"issue":"5","key":"e_1_2_8_8_1","article-title":"Sump Syndrome: A Rare Late Complication of Choledochoduodenostomy","volume":"11","author":"Hassan M. 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