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.

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References

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    Published: 2017-08-29
    Issue: Vol. 4 No. 6 (view)

    How to cite:
    1.
    Khan BA, Khan SH, Sharma AV. Lemmel’s Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum. EJCRIM 2017;4 doi:10.12890/2017_000632.