title: Lemmel's syndrome as a rare cause of obstructive jaundice.
abstract: Obstructive jaundice is a frequent symptom most frequently resulting from choledocolithiasis or pancreatico-biliary and periampullary tumors. If duodenal diverticula are frequently asymptomatic, they can occasionally present with obstructive jaundice in the absence of lithiasis or another obstructing lesion such as a tumor in a presentation called Lemmel's syndrome. We herein present a 70-year-old male with obstructive jaundice secondary to a periampullary duodenal diverticulum associated with hepatic abscess. Endoscopic sphincterotomy associated with percutaneous abscess drainage released patient from all symptoms. Lemmel's syndrome as a rare cause of obstructive jaundice should be known in order to avoid mismanagement and therapeutic delay.
authors: Department of Hepato-Pancreato-Biliary Surgery, Pôle des Maladies de l'Appareil Digestif , AP-HP, Beaujon Hospital, Clichy, France.
authors: Jérémy
authors: J
authors: Rouet
authors: Sébastien
authors: S
authors: Gaujoux
authors: Maxime
authors: M
authors: Ronot
authors: Maxime
authors: M
authors: Palazzo
authors: Francois
authors: F
authors: Cauchy
authors: Valérie
authors: V
authors: Vilgrain
authors: Jacques
authors: J
authors: Belghiti
authors: Dermot
authors: D
authors: O'Toole
authors: Alain
authors: A
authors: Sauvanet
mesh_terms: D000368:Aged; D003135:Common Bile Duct; D004240:Diverticulum / Q000150:complications*; D004378:Duodenal Diseases / Q000150:complications*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008297:Male; D013577:Syndrome