Lemmel’s Syndrome: A Rare Cause for Recurrent Cholangitis and Pancreatitis
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 3
Abstract
Abstract: A 65 year old female presented with the history of obstructive jaundice, recurrent cholangitis and pancreatitis. She was managed conservatively for 2 years in a local hospital. The patient was then referred to our centre. On evaluation, ultrasonography of abdomen showed dilated common bile duct. Contrast enhanced computed tomography of abdomen showed dilated common bile duct and duodenal diverticulum. Magnetic resonance cholangio pancreatography revealed a diverticulum in the second part of duodenum compressing the distal common bile duct. Subsequently we performed a side viewing duodenoscopy, which revealed diverticulum at second part of duodenum and diagnosed as Lemmel’s syndrome. Endoscopic biliary sphincterotomy and biliary stenting was performed. Later she improved well. Keywords: Lemmel’s syndrome, peri ampullary diverticulum, obstructive jaundice, recurrent cholangitis, recurrent pancreatitis, endotherapy.
Authors and Affiliations
Durairaj Segamalai, Sabarinathan Ramanathan, Anand Lakshmanan, Pugazhendhi Thangavel, Amudhan Anbalagan, Kannan Devy Gounder, Rajendiran Shanmugasundaram, Nagnath Babu Obla Lakshmanamoorthy
Keywords
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