Lemmel syndrome

Case contributed by Dr Amir Rezaee


Renal colic

Patient Data

Age: 90
Gender: Female

Periampullary duodenal diverticulum with associated moderate CBD and intrahepatic duct dilatation.

Case Discussion

Lemmel syndrome is secondary to a diverticulum of the second part of duodenum compressing the intrapancreatic part of common bile duct (CBD) with resultant upstream dilatation of the extra- and intrahepatic bile ducts. Patients may present with recurrent episodes of jaundicepancreatitis and/or cholangitis.

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Case information

rID: 45698
Published: 4th Jun 2016
Last edited: 4th Jun 2016
Inclusion in quiz mode: Included

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