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Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum

In 1934 Lemmel was the first to report the presence of juxtapapillary diverticula and hepatocholangiopancreatic disease, excluding cholelithiasis. Obstructive jaundice caused by periampullary duodenal diverticulum (PAD) in absence of choledocholithiasis or tumor is known as Lemmel syndrome. A patien...

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Autores principales: Khan, Babar Ahmad, Khan, Sania Hanif, Sharma, Anuj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SMC Media Srl 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346791/
https://www.ncbi.nlm.nih.gov/pubmed/30755952
http://dx.doi.org/10.12890/2017_000632
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author Khan, Babar Ahmad
Khan, Sania Hanif
Sharma, Anuj
author_facet Khan, Babar Ahmad
Khan, Sania Hanif
Sharma, Anuj
author_sort Khan, Babar Ahmad
collection PubMed
description In 1934 Lemmel was the first to report the presence of juxtapapillary diverticula and hepatocholangiopancreatic disease, excluding cholelithiasis. Obstructive jaundice caused by periampullary duodenal diverticulum (PAD) in absence of choledocholithiasis or tumor is known as Lemmel syndrome. A patient with an extraluminal duodenal diverticulum presenting with obstructive jaundice and pancreatitis is presented in this case. Although initially managed conservatively, the patient had recurrence of symptoms after 2 months but then had successful surgical resection of the duodenal diverticulum. LEARNING POINTS: Lemmel’s syndrome should be considered in patients with pancreaticobiliary disease in the absence of tumors, stricture, or cholelithiasis. Non-invasive imaging studies should be considered first but endoscopic retrograde cholangiopancreatography (ERCP) remains the diagnostic method of choice. Surgical resection (diverticulectomy), endoscopic sphincterotomy, and papillary balloon dilatation are treatment options when conservative management fails.
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spelling pubmed-63467912019-02-12 Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum Khan, Babar Ahmad Khan, Sania Hanif Sharma, Anuj Eur J Case Rep Intern Med Articles In 1934 Lemmel was the first to report the presence of juxtapapillary diverticula and hepatocholangiopancreatic disease, excluding cholelithiasis. Obstructive jaundice caused by periampullary duodenal diverticulum (PAD) in absence of choledocholithiasis or tumor is known as Lemmel syndrome. A patient with an extraluminal duodenal diverticulum presenting with obstructive jaundice and pancreatitis is presented in this case. Although initially managed conservatively, the patient had recurrence of symptoms after 2 months but then had successful surgical resection of the duodenal diverticulum. LEARNING POINTS: Lemmel’s syndrome should be considered in patients with pancreaticobiliary disease in the absence of tumors, stricture, or cholelithiasis. Non-invasive imaging studies should be considered first but endoscopic retrograde cholangiopancreatography (ERCP) remains the diagnostic method of choice. Surgical resection (diverticulectomy), endoscopic sphincterotomy, and papillary balloon dilatation are treatment options when conservative management fails. SMC Media Srl 2017-05-05 /pmc/articles/PMC6346791/ /pubmed/30755952 http://dx.doi.org/10.12890/2017_000632 Text en © EFIM 2017 This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Articles
Khan, Babar Ahmad
Khan, Sania Hanif
Sharma, Anuj
Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
title Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
title_full Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
title_fullStr Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
title_full_unstemmed Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
title_short Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
title_sort lemmel’s syndrome: a rare cause of obstructive jaundice secondary to periampullary diverticulum
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346791/
https://www.ncbi.nlm.nih.gov/pubmed/30755952
http://dx.doi.org/10.12890/2017_000632
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