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Case Reports
. 2022 Jul;67(7):2805-2808.
doi: 10.1007/s10620-022-07571-z. Epub 2022 Jun 1.

Debris-Filled Duodenal Diverticulum and Lemmel's Syndrome

Noemi Zorzetti  1   2 , A Lauro  3 , M Cervellera  4 , A Panarese  4 , S Khouzam  5 , I R Marino  6 , S Sorrenti  3 , V D'Andrea  3 , V Tonini  4   7
Affiliations
Case Reports

Debris-Filled Duodenal Diverticulum and Lemmel's Syndrome

Noemi Zorzetti et al. Dig Dis Sci. 2022 Jul.

Abstract

We report a case of a 73-year-old woman affected by Lemmel's syndrome, a rare type of obstructive jaundice caused by a periampullary duodenal diverticulum. The patient was admitted to the Emergency Department for pneumonia associated with mild epigastric pain and vomiting. While hospitalized for antibiotic treatment, the appearance of jaundice led us to discover a periampullary duodenal diverticulum by endoscopy and CT scan. The jaundice was successfully managed endoscopically with removal of food debris from the diverticulum.

Keywords: Duodenal diverticulum; Lemmel’s syndrome; Obstructive jaundice.

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References

    1. Pimparkar BD. Diverticulosis of the small intestine. In: Bockus Henry L, ed. Philadelphia: WB Saunders Co; 1976; 437–458.
    1. Schnueriger B, Vorburger SA, Banz VM et al. Diagnosis and management of the symptomatic duodenal diverticulum: a case series and a short review of the literature. J Gastrointest Surg. 2008;12:1571–1576. - DOI
    1. Davila-Ruiz EO, Garcia-Manzano RA, Barker-Antonio A et al. Ictericia obstructiva intermitente o síndrome de Lemmel: reporte de caso y revisión de la literatura. Cir Cir. 2020;88:60–65. - PubMed
    1. Bernshteyn M, Rao S, Sharma A et al. Lemmel’s syndrome: usual presentation of an unusual diagnosis. Cureus. 2020;12:e7698. - PubMed - PMC
    1. Volpe A, Risi C, Erra M et al. Lemmel’s syndrome due to a giant periampullary diverticulum: report of a case. Radiol Case Rep. 2021;16:3783–3786. - DOI

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