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A giant duodenal diverticulum causing Lemmel syndrome
An 80-year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration. While not clinically icteric, her laboratory investigations revealed an obstructive jaundice. MRCP demonstrated mild distension of the gallbladder with sev...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189375/ https://www.ncbi.nlm.nih.gov/pubmed/30349662 http://dx.doi.org/10.1093/jscr/rjy263 |
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author | Tobin, Roseanne Barry, Niamh Foley, Niamh M Cooke, Fiachra |
author_facet | Tobin, Roseanne Barry, Niamh Foley, Niamh M Cooke, Fiachra |
author_sort | Tobin, Roseanne |
collection | PubMed |
description | An 80-year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration. While not clinically icteric, her laboratory investigations revealed an obstructive jaundice. MRCP demonstrated mild distension of the gallbladder with several calculi. There was intra- and extra-hepatic biliary dilatation to the level of the ampulla. A giant fluid and air filled periampullary duodenal diverticulum measuring ~8 cm in the long axis was noted. The CBD was dilated to the level of this diverticulum and the cause of the patient’s biliary dilatation and obstruction. A rare pancreaticobiliary complication of duodenal diverticula is Lemmel syndrome. Lemmel syndrome is defined as an obstructive jaundice caused by a periampullary duodenal diverticulum compressing the intra-pancreatic portion of the common bile duct with resultant dilatation of the extra- and intra-hepatic bile ducts. Recognition of this condition is important, as delayed diagnosis can result in unnecessary further investigations. |
format | Online Article Text |
id | pubmed-6189375 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61893752018-10-22 A giant duodenal diverticulum causing Lemmel syndrome Tobin, Roseanne Barry, Niamh Foley, Niamh M Cooke, Fiachra J Surg Case Rep Case Report An 80-year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration. While not clinically icteric, her laboratory investigations revealed an obstructive jaundice. MRCP demonstrated mild distension of the gallbladder with several calculi. There was intra- and extra-hepatic biliary dilatation to the level of the ampulla. A giant fluid and air filled periampullary duodenal diverticulum measuring ~8 cm in the long axis was noted. The CBD was dilated to the level of this diverticulum and the cause of the patient’s biliary dilatation and obstruction. A rare pancreaticobiliary complication of duodenal diverticula is Lemmel syndrome. Lemmel syndrome is defined as an obstructive jaundice caused by a periampullary duodenal diverticulum compressing the intra-pancreatic portion of the common bile duct with resultant dilatation of the extra- and intra-hepatic bile ducts. Recognition of this condition is important, as delayed diagnosis can result in unnecessary further investigations. Oxford University Press 2018-10-16 /pmc/articles/PMC6189375/ /pubmed/30349662 http://dx.doi.org/10.1093/jscr/rjy263 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Tobin, Roseanne Barry, Niamh Foley, Niamh M Cooke, Fiachra A giant duodenal diverticulum causing Lemmel syndrome |
title | A giant duodenal diverticulum causing Lemmel syndrome |
title_full | A giant duodenal diverticulum causing Lemmel syndrome |
title_fullStr | A giant duodenal diverticulum causing Lemmel syndrome |
title_full_unstemmed | A giant duodenal diverticulum causing Lemmel syndrome |
title_short | A giant duodenal diverticulum causing Lemmel syndrome |
title_sort | giant duodenal diverticulum causing lemmel syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189375/ https://www.ncbi.nlm.nih.gov/pubmed/30349662 http://dx.doi.org/10.1093/jscr/rjy263 |
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