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Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum
Babar Ahmad Khan, Sania Hanif Khan, Anuj Vikrant Sharma
http://dx.doi.org/10.12890/2017_000632
European Journal of Case Reports in Internal Medicine - © EFIM

ABSTRACT

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.

KEYWORDS

Lemmel’s syndrome, juxtapapillary diverticula, periampullary duodenal diverticulum (PAD), choledocholithiasis, cholelithiasis, ERCP, MRCP, ampulla of Vater, pancreaticobiliary.

References
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