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

  • Babar Ahmad Khan Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY
  • Sania Hanif Khan Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY
  • Anuj Vikrant Sharma Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY
Keywords: Lemmel’s syndrome, juxtapapillary diverticula, periampullary duodenal diverticulum (PAD), choledocholithiasis, cholelithiasis, ERCP, MRCP, ampulla of Vater, pancreaticobiliary.

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.

Author Biography

Anuj Vikrant Sharma, Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY
Resident Physician, department of internal medicine

References

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  • Published: 2017-08-29

    Issue: Vol 4 No 6 (view)

    Section: Articles

    How to cite:
    Khan, B., Khan, S., & Sharma, A. (2017, August 29). Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum. European Journal of Case Reports in Internal Medicine, 4(6). https://doi.org/https://doi.org/10.12890/2017_000632