Lemmel syndrome is a rare clinical entity characterized by the presence of a periampullary duodenal diverticulum resulting in compression and dilatation of the pancreatic and common bile ducts, accompanied by obstructive jaundice. Gastric outlet obstruction is not a known complication of this syndrome, and there are no standardized approaches to its treatment. We present the first case of Lemmel syndrome presenting as gastric outlet obstruction and provide the results of a systematic literature review.
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http://dx.doi.org/10.1159/000528031 | DOI Listing |
Cureus
November 2024
Radiology, Government Medical College & Hospital, Jammu, Jammu, IND.
Introduction: Obstructive jaundice resulting from a duodenal diverticulum is known as Lemmel syndrome. Lemmel syndrome should be included in the differential diagnosis in patients presenting with obstructive jaundice in the absence of choledocholithiasis, mass, or a stricture.
Aims And Objectives: To describe the computed tomography (CT) findings in patients with Lemmel syndrome.
J Surg Case Rep
December 2024
Department of General Surgery, University Hospital Waterford, Dunmore road Waterford, Waterford X91ER8E, Ireland.
We report the case of a 77-year-old woman with jaundice but no evidence of choledocholithiasis or other alterations of the biliary tree except for a duodenal diverticulum. Lemmel's syndrome was diagnosed and an endoscopic sphincterotomy with stenting was performed. Lemmel's syndrome is a rare disease that must be considered as a cause of obstructive jaundice.
View Article and Find Full Text PDFAnn Med Surg (Lond)
December 2024
Department of Anaesthesia, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Introduction And Importance: One of the very rare causes of obstructive jaundice, Lemmel's syndrome, is caused due to biliary mechanical compression by a juxtapapillary diverticulum. It is defined as obstructive jaundice due to juxtapapillary diverticulum in the absence of cholelithiasis, periampullary tumours, or other detectable obstacles. It is an extremely rare syndrome; therefore, studies need to be done for proper diagnosis and management.
View Article and Find Full Text PDFSultan Qaboos Univ Med J
November 2024
Department of Radiology, Radiologist at Diagnósticos da América SA - DASA, São Paulo, Brazil.
Acta Gastroenterol Belg
August 2024
Gastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
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