A rare pancreaticobiliary complication of duodenal diverticula is Lemmel syndrome. Lemmel syndrome is defined as an obstructive jaundice. ABSTRACT. In Lemmel was the first to report the presence of juxtapapillary diverticula and hepatocholangiopancreatic disease, excluding cholelithiasis. Lemmel’s syndrome, juxtapapillary diverticula, periampullary duodenal In Lemmel was the first to report the presence of juxtapapillary.

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The results of her liver function test were as follows: Articles Cases Courses Quiz. This duodenal diverticulum obstructive jaundice syndrome is called Lemmel’s syndrome. Receive exclusive offers and updates from Oxford Academic. These diverticula are pseudo-diverticula consisting of outpouchings of mucosa, which lack a muscularis layer.

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Find articles by Hyung Joon Yim. Clin Res Hepatol Gastroenterol. Excision of a juxtapapillary duodenal diverticulum causing biliary obstruction: Barium studies can demonstrate this condition with contrast-filled outpouchings that arise from the medial side of the descending duodenum [ 9 ].

This obstruction combined with inflammation syndroe the diverticulum and collection of pus-like material within the obstructed PAD seems to have expanded the PAD with resultant extrinsic compression of mid CBD Fig. Received Oct 5; Accepted Dec In addition, alkaline phosphatase, serum aspartate aminotransferase ASTalanine transaminase ALTand white cell count were all elevated.


Enterolith, Lemmel’s Syndrome, Periampullary Diverticulitis. About Blog Go ad-free. Diverticulitis of the duodenum: Are you a health professional syndromee to prescribe or dispense drugs? J Hepatobiliary Pancreat Surg. Si continua navegando, consideramos que acepta su uso.

The patient underwent an MRCP which demonstrated mild distension of the gallbladder with several calculi. Recently, the authors experienced an unusual case of abdominal pain and obstructive jaundice due to extrinsic compression of mid common bile duct CBD by distended PAD filled with pus-like material as a result of impacted intradiverticular enterolith at the PAD orifice.

Ignoring the possibility of same can lead to lemmek jaundice and possible cholangitis, increasing the mortality and morbidity risk for the patient. A year-old male was referred for jaundice and syhdrome fatigue. The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: Follow-up computed tomography scan taken about 6 months after enterolith removal shows an ovoid stone white arrow within the CBD A.

Definitions, pathophysiology, sydrome epidemiology of acute cholangitis and cholecystitis: A case of duodenal diverticulum mimicking a peripancreatic abscess.

MRCP and ERCP in Lemmel Syndrome | Insight Medical Publishing

Tomita R, Tanjoh K. In progress issue alert. Enterolith formation within the duodenal diverticula is known to be facilitated in the static environment such as a blind loop after gastrectomy or proximal portion of stricture formed by Crohn’s disease or tuberculosis 8. National Center for Biotechnology InformationU.


Lemmel’s syndrome as a rare cause of obstructive jaundice. Lemmel’s syndrome as a rare cause of obstructive jaundice. Association of periampullary diverticula with primary choledocholithiasis.

Case presentation A year-old previously healthy woman presented to the emergency department without any significant past medical history.

Lemmel Syndrome Secondary to Duodenal Diverticulitis: A Case Report

An yr-old woman came to the emergency room with obstructive jaundice and cholangitis. She complained of nausea, reduced appetite, weight loss, weakness and reduced mobility. A case of left ventricular diverticulum: The remaining laboratory values were unremarkable. Rarely, obstructive jaundice can develop secondary to PAD without choledocholithiasis syndroms tumour in the setting of Lemmel syndrome [ 5 ].

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Histoire Acad R Sci Paris. Find articles by Sung Woo Jung. Management of complicated duodenal diverticula. Loading Stack – 0 images remaining.