AI Article Synopsis
- Lemmel syndrome is a rare disease caused by a duodenal diverticulum that compresses the common bile duct, leading to abdominal pain and jaundice without other causes.
- * It can be misdiagnosed, so various imaging techniques like ultrasound, CT scans, and MRCP are essential for accurate detection.
- * In a reported case, a 62-year-old man with prolonged abdominal pain was diagnosed with Lemmel syndrome and successfully treated using ERCP with stent placement.
Article Abstract
Lemmel syndrome is a rare cholestatic disease caused by a periampullary duodenal diverticulum (PAD) compressing the common bile duct (CBD) or pancreatic duct, which results in acute abdominal pain and/or obstructive jaundice in the absence of other pathology explaining the symptoms. It can be easily misdiagnosed unless carefully detected by abdominal ultrasound (US), barium studies, computed tomography (CT) scan, esophagogastroduodenoscopy (EGD), magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiography (ERCP), which is also the treatment modality of choice. We herein report a case of a 62-year-old male presenting with prolonged hypochondrial pain. He was diagnosed with Lemmel syndrome after performing US, barium meal, CT scan, EGD, and MRCP that was managed successfully by ERCP with sphincterotomy and stent placement.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8723720 | PMC |
| http://dx.doi.org/10.7759/cureus.20093 | DOI Listing |
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