Well, there is something else that I’ve seen have a habit of filling TempDB. If you’re using Read Committed Snapshot or RCSI then you’ll also have a version store in your database. I’m not going to go into the details of exactly how version store works, there is plenty of documentation on it out there if you’re interested (perhaps I’ll write a post on it sometime).
The key bit that you need to know is that although SQL will keep version store trimmed down and only keep the rows that are needed, it can only clear rows that are older than the oldest transaction. This is because SQL has no way of knowing what rows are going to be needed by the transaction. Do you see a potential issue here?
Read on for enlightenment.