Lemmel’s Plus Syndrome: An Unusual Cause of Obstructive Jaundice
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Periampullary diverticulum refers to extraluminal outpouching of duodenal mucosa that develops within a radius of 2cm from the ampulla of Vater. Usually asymptomatic; but can be sometimes associated with pancreaticobiliary and non pancreaticobiliary complications. Lemmel’s syndrome is a rare entity, refers to obstructive jaundice developing secondary to periampullary diverticulum in the absence of choledocholithiasis and tumour in the head of pancreas. Lemmel’s syndrome consists of classic triad obstructive jaundice, cholangitis and pancreatitis. In addition to classic triad our case revealed pneumobilia that has never been reported in literature, here by we coin a new terminology called lemmel’s plus syndrome that has 4 components: obstructive jaundice, cholangitis, pancreatitis and pneumobilia that is two pathology exists in lemmel’s plus syndrome element of obstruction and element of perforation.
Authors and Affiliations
V. R Rajendran, A M Abdul Latheef, Noufal Perumpalath, Ipsit I Menon, Sherinas Rehiman
Keywords
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- EP ID EP544771
- DOI 10.21276/ijmrp.2017.3.2.057
- Views 50
- Downloads 0
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