Case Presentation: Sump syndrome is a rare complication of side-to-side choledochoduodenostomy (CDD). CDD used to be a common surgical procedure done in the era before endoscopic retrograde cholangiopancreatography (ERCP). After side-to-side CDD, the CBD between the anastomosis and the ampulla of Vater becomes a potential sump (a recess or reservoir serving a drain for liquids). [...]

Case Presentation: A 73 year old female with a PMH of CKD 3a, GERD, and laryngeal cancer s/p total laryngectomy presented with epigastric pain for one day, radiating to bilateral upper abdominal quadrants, nausea, and vomiting.On exam the patient was hypertensive (240/90s), but otherwise hemodynamically stable. Lab work was unremarkable. A HIDA scan showed acute [...]

Case Presentation: A 57-year-old female with hypertension, hyperlipidemia and a surgical history of cholecystectomy for gallstone pancreatitis six years ago presents with right upper quadrant (RUQ) abdominal pain, nausea, vomiting, and skin yellowing for one day. Over the prior eight months, the patient had experienced intermittent episodes of RUQ abdominal pain that self-resolved in minutes. [...]