{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:22:38Z","timestamp":1777908158088,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1997,1,1]],"date-time":"1997-01-01T00:00:00Z","timestamp":852076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[1997,1]]},"abstract":"<jats:p>\n                    An uncommon and late complication of side-to-side choledochoduodenostomy (CDD), the \u2018sump syndrome\u2019, developed in a patient 4 years after surgery. Recurrent right upper abdominal pain, fever with chills and rigors and latterly, mild jaundice made her seek repeated hospital admissions which were treated successfully with antibiotics. During the last admission, ultrasonography, endoscopic retrograde cholangiography (ERC), computerized scanning (CT) and hepatic iminodiacetic acid (HIDA) scan using Tc\n                    <jats:sup>99m<\/jats:sup>\n                    confirmed multiple intrahepatic calculi with proximal dilatation, debris in the distal blind segment and delayed excretion through the CDD. At surgery, the choledochoduodenostomy was taken down and a Rouxen-Y hepaticojejunostomy (RHJ) was fashioned after ductal clearance. The closed end of the Roux loop was placed subcutaneously for subsequent percutaneous access for cholangiography and removal of calculi. She is asymptomatic and well 28 months after surgery.\n                  <\/jats:p>","DOI":"10.1177\/004947559702700121","type":"journal-article","created":{"date-parts":[[2017,7,15]],"date-time":"2017-07-15T19:03:37Z","timestamp":1500145417000},"page":"51-52","source":"Crossref","is-referenced-by-count":3,"title":["Recurrent Pyogenic Cholangitis: \u2018Sump Syndrome\u2019 following Choledochoduodenostomy"],"prefix":"10.1177","volume":"27","author":[{"given":"T F Toufeeq","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Surgery, Universiti Sains Malaysia, 16150 Kuhang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaheer A","family":"Sherazi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Universiti Sains Malaysia, 16150 Kuhang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suseela","family":"Muniandy","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universiti Sains Malaysia, 16150 Kuhang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malik","family":"Mumtaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1997,1,1]]},"reference":[{"key":"bibr1-004947559702700121","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199106000-00014"},{"key":"bibr2-004947559702700121","doi-asserted-by":"publisher","DOI":"10.1177\/004947559302300308"},{"key":"bibr3-004947559702700121","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1962.01300200047004"},{"key":"bibr4-004947559702700121","first-page":"847","volume":"72","author":"Wereldsma JCJ","year":"1985","journal-title":"Br J Surg"},{"key":"bibr5-004947559702700121","doi-asserted-by":"publisher","DOI":"10.1007\/BF01563677"},{"key":"bibr6-004947559702700121","first-page":"474","volume":"109","author":"Fan ST","year":"1991","journal-title":"Surgery"},{"key":"bibr7-004947559702700121","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800720606"},{"key":"bibr8-004947559702700121","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80837-2"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559702700121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559702700121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:57:50Z","timestamp":1777643870000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947559702700121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1997,1]]}},"alternative-id":["10.1177\/004947559702700121"],"URL":"https:\/\/doi.org\/10.1177\/004947559702700121","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,1]]}}}