Lemmel syndrome

Case contributed by Dr Ahmed A. Khawwam

Presentation

Obstructive jaundice

Patient Data

Age: 70 years
Gender: Female
CT

Dilated common bile duct till its lower end where an air-filled out-pouching of the second part of duodenum causing pressure effect on CBD.

No visible periampullary mass.

Incidental finding of small hemangioma in segment VIII of the liver.  

Annotated image

Annotated image showing the close relationship of the duodenal diverticulum with the distal end of common bile duct (CBD).

Case Discussion

Lemmel syndrome is a rare cause of obstructive jaundice secondary to periampullary duodenal diverticulum causing pressure effect on distal common bile duct.  

Diagnosis confirmed by ERCP which reveal large periampullary diverticulum 

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Case information

rID: 79024
Published: 17th Jun 2020
Last edited: 20th Jun 2020
Inclusion in quiz mode: Included