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Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report
Lemmel syndrome is created by a periampullary duodenal diverticulum. It is identified incidentally in 22% of the population, <10% present with jaundice, pain in the right flank and alteration of bilirubins, transaminases and/or pancreatic enzymes. Its diagnosis and therapeutic management can be c...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763606/ https://www.ncbi.nlm.nih.gov/pubmed/35047177 http://dx.doi.org/10.1093/jscr/rjab593 |
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author | Goroztieta-Rosales, L M Gómez-Farías, J López-García, K D Davila-Rodriguez, D O |
author_facet | Goroztieta-Rosales, L M Gómez-Farías, J López-García, K D Davila-Rodriguez, D O |
author_sort | Goroztieta-Rosales, L M |
collection | PubMed |
description | Lemmel syndrome is created by a periampullary duodenal diverticulum. It is identified incidentally in 22% of the population, <10% present with jaundice, pain in the right flank and alteration of bilirubins, transaminases and/or pancreatic enzymes. Its diagnosis and therapeutic management can be carried out successfully with endoscopic retrograde cholangiopancreatography (ERCP), although some cases will require surgical management. We present the case of a 72-year-old male with recurrent obstructive jaundice and suspected choledocholithiasis managed with ERCP, identifying Lemmel syndrome. We recognize the importance of considering this extraordinary cause of obstructive jaundice in order to be able to make a diagnosis and offer timely treatment. |
format | Online Article Text |
id | pubmed-8763606 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-87636062022-01-18 Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report Goroztieta-Rosales, L M Gómez-Farías, J López-García, K D Davila-Rodriguez, D O J Surg Case Rep Case Report Lemmel syndrome is created by a periampullary duodenal diverticulum. It is identified incidentally in 22% of the population, <10% present with jaundice, pain in the right flank and alteration of bilirubins, transaminases and/or pancreatic enzymes. Its diagnosis and therapeutic management can be carried out successfully with endoscopic retrograde cholangiopancreatography (ERCP), although some cases will require surgical management. We present the case of a 72-year-old male with recurrent obstructive jaundice and suspected choledocholithiasis managed with ERCP, identifying Lemmel syndrome. We recognize the importance of considering this extraordinary cause of obstructive jaundice in order to be able to make a diagnosis and offer timely treatment. Oxford University Press 2022-01-17 /pmc/articles/PMC8763606/ /pubmed/35047177 http://dx.doi.org/10.1093/jscr/rjab593 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://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 (https://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 Goroztieta-Rosales, L M Gómez-Farías, J López-García, K D Davila-Rodriguez, D O Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
title | Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
title_full | Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
title_fullStr | Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
title_full_unstemmed | Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
title_short | Lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
title_sort | lemmel syndrome: an extraordinary cause of obstructive jaundice—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763606/ https://www.ncbi.nlm.nih.gov/pubmed/35047177 http://dx.doi.org/10.1093/jscr/rjab593 |
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