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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Lemmel syndrome | Radiology Reference Article |

Contrast-enhanced axial CT images of the upper abdomen demonstrate A a periampullary duodenal diverticulum with surrounding inflammatory changes consistent with diverticulitis, including wall thickening and fat stranding arrow. Second, periampullary diverticula may cause dysfunction of the sphincter of Oddi. Die KlinischeBedeutung der Duodenal Divertikel.

View large Download slide. Her entire physical examination was negative, syndrrome the absence of jaundice. Recognition of this condition is important, as delayed diagnosis can result in unnecessary further investigations.

Excision of a juxtapapillary duodenal diverticulum causing biliary obstruction: This finding is depicted in line art to better delineate the anatomical relationship C. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

In progress issue alert. Received Oct 5; Accepted Dec 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 lemme inflammatory changes lemmrl. To date, there are few published cases, and the etiopathogenesis has not been completely established.

Additional pathophysiologic processes may also contribute to the development of Lemmel syndrome.

Find articles by Ja Seol Koo. Please cite this article as: 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. Currently, 24 months after surgery, the patient is asymptomatic and has not presented any new episodes of abdominal pain or obstructive jaundice.


Author information Article notes Copyright and License information Disclaimer. Diverticula of the gastrointestinal tract are outpouchings of all or part of the intestinal wall which can occur anywhere throughout the alimentary tract. The patient denied any abdominal pain, fever, chills, nausea, vomiting, melena, hematochezia, and hematemesis.

MRCP and ERCP in Lemmel Syndrome

She complained of nausea, reduced appetite, weight loss, weakness and reduced mobility. She was a lemjel home resident who was largely dependent in activities of daily living.

Acute obstructive cholangitis caused by an enterolith in a duodenal diverticulum. Syndfome Pages Although PAD usually do not cause symptoms, it can serve as a source of obstructive jaundice even when choledocholithiasis or tumor is not present.

Find articles by Seung Young Kim. Therefore, high index of suspicion is mandatory to arrive at a correct diagnosis in these patients. Once the papilla was located with a Fogarty catheter through the cystic duct, the diverticulum was dissected at its neck; the common bile duct was dissected above the area being compressed by the diverticulum, confirming the discharge of clean bile; the bile duct was ligated distally and reconstructed using Roux-en-Y choledochojejunostomy.

Here, a case of Lemmel syndrome is presented. Subscribe to our Newsletter. Cured by Da Vinci Xi: They are more frequently lmemel in the second portion of the duodenum, close to the ampulla of Vater juxtapapillary due to the weakness of the wall in this area.

An year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration. Synonyms or Alternate Spellings: Related articles in PubMed Pathophysiological mechanisms of diabetic cardiomyopathy and the therapeutic potential of epigallocatechingallate.


Diagnosis and management of the symptomatic duodenal diverticulum: Can’t read the image?

Endoscopic retrograde cholangiopancreatographic findings lemmell enterolith within the periampullary diverticulum PAD and its removal. An year-old lady presented to the emergency department with a 6-week history of general deterioration.

MRCP and ERCP in Lemmel Syndrome | Insight Medical Publishing

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. If the underlying mechanism of Lemmel’s syndrome is likely to be due to papillitis chronica fibrosa or sphincter of Oddi dysfunction as mentioned above, the simplest and the most appropriate management would be to perform EST Eur J Radiol ; The role of juxtapapillary duodenal diverticulum in the formation of gallbladder stones.

However, coronal reconstructed image shows that the stone black arrow is not located in the CBD but within the periampullary diverticulum that is filled with air and debris along with mid CBD stricture white arrow B. Abstract An year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration. The laboratory data was the following: The relationship between juxtapapillary duodenal diverticula and disorders of the biliopancreatic system: Email alerts New issue alert.

There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. Enterolith formation within the duodenal diverticula is known to be facilitated in the static environment such as a blind loop after gastrectomy or proximal portion of stricture formed by Crohn’s disease or tuberculosis 8.