Endoscopic ultrasound of Lemmel's syndrome.
Periampullary duodenal diverticula are common and are usually asymptomatic. However, complications like biliary or pancreatic obstruction, duodenal obstruction, perforation, or hemorrhage can occur occasionally. Obstructive jaundice is usually due to biliary stones and periampullary tumors. Rarely, duodenal diverticula may present with obstructive jaundice in the absence of cholelithiasis or other detectable obstacle. This condition is called Lemmel's syndrome. There are only few case reports of this rare condition. We report a case of 78-year-old man presenting with painless obstructive jaundice due to Lemmel's syndrome which was diagnosed on endoscopic ultrasonography.
Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, 250 001, India. dr_piyushsomani@yahoo.co.in.
Piyush
http://orcid.org/0000-0002-5473-7265
P
Somani
Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, 250 001, India.
Malay
M
Sharma
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003135:Common Bile Duct; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging*; D004378:Duodenal Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D019160:Endosonography; D006801:Humans; D041781:Jaundice, Obstructive / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D013577:Syndrome
ERCP; Endoscopic ultrasonography; Lemmel’s syndrome; Obstructive jaundice; Periampullary diverticulum