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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Korean+Med+Sci
2014 ; 29
(6
): 874-8
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English Wikipedia
Lemmel s syndrome, an unusual cause of abdominal pain and jaundice by impacted
intradiverticular enterolith: case report
#MMPMID24932093
Kang HS
; Hyun JJ
; Kim SY
; Jung SW
; Koo JS
; Yim HJ
; Lee SW
J Korean Med Sci
2014[Jun]; 29
(6
): 874-8
PMID24932093
show ga
Duodenal diverticula are detected in up to 27% of patients undergoing upper
gastrointestinal tract evaluation with periampullary diverticula (PAD) being the
most common type. Although PAD usually do not cause symptoms, it can serve as a
source of obstructive jaundice even when choledocholithiasis or tumor is not
present. This duodenal diverticulum obstructive jaundice syndrome is called
Lemmel's syndrome. An 81-yr-old woman came to the emergency room with obstructive
jaundice and cholangitis. Abdominal CT scan revealed stony opacity on distal CBD
with CBD dilatation. ERCP was performed to remove the stone. However, the stone
was not located in the CBD but rather inside the PAD. After removal of the
enterolith within the PAD, all her symptoms resolved. Recognition of this
condition is important since misdiagnosis could lead to mismanagement and
therapeutic delay. Lemmel's syndrome should always be included as one of the
differential diagnosis of obstructive jaundice when PAD are present.