Lemmel syndrome

Case contributed by Dr Utkarsh Kabra

Presentation

Pancreatitis, ? biliary

Patient Data

Age: 75 years
Gender: Male
MRI

Outpouching from 2nd part of duodenum, causing compression of CBD, proximal upstream dilation and mild prominence of proximal intrahepatic biliary radicals. A rim of fluid is seen surrounding the lesion with a focus of air. 

Pancreas is heterogeneous in appearance with peripancreatic fat stranding, fluid, perinephric fat stranding and mild ascites.

Case Discussion

Outpouching from 2nd part of duodenum, causing compression of CBD, proximal upstream dilation and mild prominence of proximal intrahepatic biliary radicals. A rim of fluid is seen surrounding the lesion with a focus of air; likely duodenal diverticulum with diverticulitis. 

Pancreas is heterogeneous in appearance with peripancreatic fat stranding, fluid, perinephric fat stranding and mild ascites consistent with acute pancreatitis.

Above findings are consistent with Lemmel syndrome.

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Case information

rID: 74780
Published: 9th Mar 2020
Last edited: 9th Mar 2020
Inclusion in quiz mode: Included

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