A rare pancreaticobiliary complication of duodenal diverticula is Lemmel syndrome. Lemmel syndrome is defined as an obstructive jaundice. ABSTRACT. In Lemmel was the first to report the presence of juxtapapillary diverticula and hepatocholangiopancreatic disease, excluding cholelithiasis. Lemmel’s syndrome, juxtapapillary diverticula, periampullary duodenal In Lemmel was the first to report the presence of juxtapapillary.

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Extrinsic compression of the common bile duct ysndrome require surgery. Small bowel obstruction due to enterolith bezoar formed in a duodenal diverticulum: This re-demonstrated a periampullary duodenal diverticulum with adjacent inflammatory changes.

A case of Lemmel’s syndrome caused by a large diverticular enterolith at the peripapillary portion of the duodenum.

Juxtapapillary duodenal diverticula and pancreatobiliary disease. Laboratory values revealed that lfmmel and bilirubin metabolites were normal, but inflammatory markers, including CRP, were elevated. A unique case of xanthogranulomatous cholecystitis complicated by multiple liver abscesses and portal vein and hepatic artery thrombosis and occlusion.

Sometimes these diverticula can be filled with fluid and misdiagnosed as a pancreatic abscess, cystic neoplasm in the pancreatic head, or as a metastatic lymph node [ 8 ]. Diverticulitis of the duodenum: An year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration.

Diagnosing Lemmel’s syndrome could be challenging, but being aware of this condition is important to synxrome mismanagement and it begins with identification of PAD. Since ERCP did not guarantee lsmmel treatment, the patient was referred to our surgical service.

Third, distal CBD or ampulla can be directly compressed mechanically by PAD that is usually filled with enterolith or bezoar 67. Contrast-enhanced Coronal and Sagittal CT of the Ldmmel and Pelvis Pre-Treatment Contrast-enhanced reformatted images of the abdomen and pelvis demonstrate A an inflamed periampullary diverticulum, which obstructs the common bile duct arrow. Catheter ablation for Wolff-Parkinson-White syndrome with coronary sinus diverticulum in a year-old boy.


Recognition of this condition is important, as delayed diagnosis can result syhdrome unnecessary further investigations. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide.

Lemmel syndrome | Radiology Reference Article |

She had undergone subtotal gastrectomy with billroth II anastomosis due to peptic ulcer perforation 10 yr ago. Contrast-enhanced Axial A and Coronal B CT Images of the Abdomen and Pelvis Post-Treatment Contrast-enhanced axial A and coronal B CT images of the abdomen and pelvis two weeks after conservative treatment demonstrate a small duodenal diverticulum with significantly improved surrounding inflammatory changes arrows.

Lemmel syndrome occurs when a duodenal diverticulum causes obstructive jaundice due to a mechanical obstruction of the common bile duct. Lateral compression of the distal common bile duct on MRCP without secretin injection implies the possibility of periampullary duodenal diverticulum. Barium studies show PAD with contrast-filled out-pouchings that arise from the wall of the descending duodenum [ 1 ].

MR cholangiopancreatography of Mirizzi syndrome and Lemmel syndrome. Human Ethics Consent was obtained by all participants in this study.

Shocket E, Simon SA. Pancreaticobiliary complications can include recurrent gallbladder or bile duct stones, obstructive jaundice, acute pancreatitis or ascending cholangitis [ 9 ].

Please review our privacy policy. J Am Coll Surg,pp. Find articles by Sung Woo Jung. Arch Verdauungskrht ; Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: This finding was unchanged compared to a CT study from 6 months previously. Abstract An year-old syndromr, with a known periampullary giant duodenal diverticulum, presented to the lenmel department with general deterioration.


In the postoperative period, the patient had a subphrenic abscess that was drained surgically and a biliary fistula that was resolved with conservative management.

Case presentation A year-old previously healthy woman presented to the emergency department without any significant past medical history. After removal of the enterolith within the PAD, all her symptoms resolved.

She was a nursing home resident who was largely dependent in activities of daily living.

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There were no findings of bile duct stones or dilatation of the common bile duct. Sndrome KlinischeBedeutung der Duodenal Divertikel. Support Center Support Center.

Impact of periampullary duodenal diverticula at endoscopic retrograde cholangiopancreatography: However, on coronal reconstructed images, the stone was not located within the bile duct but inside the PAD and the distended diverticulum was compressing the mid CBD Fig. Obstructive jaundice can develop secondary to periampullary diverticula without choledocholithiasis in the setting of Lemmel syndrome [ 3 ].

Continuing navigation will be considered as acceptance of this use. Die klinische bedeutung der lekmel Article in German Lemmel G.

Lemmel Syndrome Secondary to Duodenal Diverticulitis: A Case Report

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. The role of juxtapapillary duodenal diverticulum in the formation of gallbladder stones. Acute obstructive cholangitis caused by an lemmek in a duodenal diverticulum.

Removal of common bile duct CBD stone.

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