Lemmel syndrome

Case contributed by Dr Bahman Rasuli

Presentation

Right subcostal abdominal pain and obstructive jaundice.

Patient Data

Age: 70 years
Gender: Female
CT

Dilatation of central intrahepatic and extrahepatic biliary ducts (CHD:10 mm and CBD:9 mm), as well as pancreatic duct (3.5 mm).

Large air-filled outpouching measuring about 20*40 mm at the second part of the duodenum mesenteric border exerts pressure on the distal end of the CBD pancreatic segment and the common duct.

Thickening of the gallbladder wall (6mm), contains a hypodense layer of subserosal edema that mimics pericholecystic fluid with an internal 20 mm hyperdense stone.       

Ptotic and malrotation of the left kidney.

Spine degenerative changes as multilevel endplate sclerosis and marginal osteophyte formation are seen.

Case Discussion

Lemmel syndrome is defined as obstructive jaundice caused by a periampullary duodenal diverticulum compressing the intrapancreatic common bile duct with resultant bile duct dilatation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.