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Case Report

Sump syndrome of the remnant common bile duct following a living donor liver transplant

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Pages 667-669 | Received 17 Feb 2021, Accepted 25 Jun 2021, Published online: 20 Sep 2021

Figures & data

Figure 1. Magnetic resonance cholangiopancreatography

This is a coronal section of our patient’s Magnetic Resonance Cholangiopancreatography. This demonstrates an enlarged distal common bile duct. The duct actually enlarged by 3 mm compared to imaging 3 months prior, indicating a probable source of infection or cholangitis.
Figure 1. Magnetic resonance cholangiopancreatography

Figure 2. Patient anatomy with CBD stricture

This figure depicts our patient’s gastrointestinal tract following right lobe liver transplant connected via Roux-en-Y Hepaticojejunostomy. The enlarged rectangular portion highlights the remaining intrapancreatic common bile duct that is native to our patient. Note the 5 mm moderate stenosis in the distal portion, felt to be the source of our patient’s infection. CBD – Common Bile Duct; HJ Site – Anastomosis of Hepaticojejunostomy.
Figure 2. Patient anatomy with CBD stricture