# Recurrent cholangitis after choledochoduodenostomy: A case report
> Uwuratuw J.A.

URL kanonis: https://discover.unhas.ac.id/publications/pub_scopus_85125642707
Jurnal / Konferensi: International Journal of Surgery Case Reports
Tahun terbit: 2022
DOI: https://doi.org/10.1016/j.ijscr.2022.106912
ISSN: 22102612
Kuartil SJR: Q3
Citations: 1

## Authors
- Uwuratuw J.A.

## Abstract
INTRODUCTION: Recurrent cholangitis is a long-term consequence of choledochoduodenostomy (CDD) that requires urgent treatment. The frequency of recurrent cholangitis ranges between 2.5 and 15.7%. This case demonstrated the importance of rapid and precise diagnosis through screening and therapeutic modalities in recurrent cholangitis. PRESENTATION OF CASE: A male patient presented with a history of recurring right upper abdominal discomfort during the previous 3 years. The pain had been intermittent but had become more intense during the prior month. The patient was diagnosed with recurrent cholangitis following CDD. The therapeutic plan was closure of the CDD, which was identified as the cause of the recurrent cholangitis, and biliary drainage by modified Roux-en-Y choledochojejunostomy. DISCUSSION: Recurrent cholangitis was diagnosed based on clinical manifestations, including recurring right upper abdomen discomfort, jaundice, and fever accompanied with consistent laboratory and imaging findings. Drainage of bile into the distal common bile duct (CBD) is reduced in the side-to-side CDD arrangement. Consequently, the distal CBD becomes a reservoir with inadequate drainage, predisposing this so-called 'sump' to debris accumulation and cholangitis. The surgery was considered successful in preventing the recurrent cholangitis. CONCLUSION: The recurrent cholangitis was occurred due to inadequate biliary drainage. The choledochojejunostomy procedure with modified Roux-en-Y might prevent the recurrent cholangitis by improving biliary drainage to the enteric.

## Keywords
- Medicine
- Jaundice
- Common bile duct
- Surgery
- Biliary drainage
- Obstructive jaundice
- Abdominal pain

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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