Sump Syndrome: The Forgotten Cause of Painless Jaundice in the Elderly

Authors

Mark Ayoub, 1Internal Medicine Resident, Charleston Area Medical Center – West Virginia University Charleston Division, Internal Medicine DepartmentFollow
Amna Anees, Assistant Professor, Program Directory, Program Director Internal Medicine residency, OPCC Medical Director, CAMC/WVU-Charleston divisionFollow

Abstract

Painless jaundice is a common presentation of abdominal malignancy seen in elderly patients. While malignancy may be a common cause of obstructive jaundice in that population group, anchor bias should always be avoided. We present a case of an elderly woman who presented with painless jaundice and weight loss. She had a very remote history of cholecystitis. She was found to have Sump syndrome due to a stricture at the Choledochoduodenostomy (CDD) site. She underwent endoscopic retrograde cholangiopancreatography (ERCP) with stent placement which shortly led to resolution of her jaundice. Biopsy from the stricture site came back negative for malignancy.

Recommended Citation

Ayoub, Mark and Anees, Amna (2024) "Sump Syndrome: The Forgotten Cause of Painless Jaundice in the Elderly," Journal of Community Hospital Internal Medicine Perspectives: Vol. 14: Iss. 4, Article 22.
DOI: 10.55729/2000-9666.1354
Available at: https://scholarlycommons.gbmc.org/jchimp/vol14/iss4/22