Lemmel syndrome
Updates to Case Attributes
Lemmel syndrome is an obstructive disease of the biliary tree caused by and external compression from an out pouching (diverticulum) usually arising from the second part of doudenum.
Various presentations can be seen, such as jaundice, pancreatitis and cholangitis.
-<p>Lemmel syndrome is an obstructive disease of the biliary tree caused by and external compression from an out pouching (diverticulum) usually arising from the second part of doudenum.</p><p>Various presentations can be seen, such as jaundice, pancreatitis and cholangitis.</p>- +<p><a href="/articles/lemmel-syndrome" title="Lemmel syndrome">Lemmel syndrome</a> is an obstructive disease of the biliary tree caused by and external compression from an out pouching (diverticulum) usually arising from the second part of doudenum.</p><p>Various presentations can be seen, such as jaundice, pancreatitis and cholangitis.</p>
Updates to Study Attributes
MRCP confirms the previously mentioned CT scan findings, showing the first part duodenal diverticulum measuring about 1 x 1.4 x 1.6 cm seen anterior to distal CBD causing mass effect on it leading to CBD, pancreatic duct, and intra-hepatic biliary tree dilation with an abrupt change in CBD calibercalibre just near the abovementioned diverticulum.
The CBD is reachingreaches a maximum diemeterdiameter of about 1.1 cm and the pancreatic duct reachingreaches about 4.4 mm.
Distended gallbladder abutting the first part of the duodenum with pericystic edemaoedema and medial insertion of the cystic duct.
Overall features may suggest Lemmel syndrome.
Image 38 MRI (T2) ( update )
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