Lemmel's syndrome, an unusual cause of abdominal pain and jaundice by impacted intradiverticular enterolith: case report
| Autor: | Sang Woo Lee, Sung Woo Jung, Seung Young Kim, Jong Jin Hyun, Ja Seol Koo, Hyo Sung Kang, Hyung Joon Yim |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Enterolith Cholangiopancreatography Magnetic Resonance Cholangitis Case Report Gallstones digestive system Periampullary Diverticulitis medicine Humans Duodenal Diseases Aged 80 and over Cholangiopancreatography Endoscopic Retrograde S syndrome Gastroenterology & Hepatology business.industry General Medicine Jaundice medicine.disease digestive system diseases Surgery Abdominal Pain Diverticulum Jaundice Obstructive Fluoroscopy Lemmel's Syndrome Female medicine.symptom Differential diagnosis business Tomography X-Ray Computed |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 |
| Popis: | Duodenal diverticula are detected in up to 27% of patients undergoing upper gastrointestinal tract evaluation with periampullary diverticula (PAD) being the most common type. Although PAD usually do not cause symptoms, it can serve as a source of obstructive jaundice even when choledocholithiasis or tumor is not present. This duodenal diverticulum obstructive jaundice syndrome is called Lemmel's syndrome. An 81-yr-old woman came to the emergency room with obstructive jaundice and cholangitis. Abdominal CT scan revealed stony opacity on distal CBD with CBD dilatation. ERCP was performed to remove the stone. However, the stone was not located in the CBD but rather inside the PAD. After removal of the enterolith within the PAD, all her symptoms resolved. Recognition of this condition is important since misdiagnosis could lead to mismanagement and therapeutic delay. Lemmel's syndrome should always be included as one of the differential diagnosis of obstructive jaundice when PAD are present. Graphical Abstract |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|