Lemmel Syndrome: Unveiling the Underrecognized Pancreatobiliary Diagnosis, Management Strategies, and Future Directions.
Publication/Presentation Date
6-1-2024
Abstract
Lemmel syndrome, a rare condition, is characterized by biliary obstruction caused by a periampullary diverticulum (a pouch-like outgrowth of the duodenum near the ampulla of Vater). In our case, a 76-year-old male patient presented with epigastric pain and exhibited a cholestatic pattern on liver function tests. Imaging revealed dilated pancreatic and common bile ducts due to compression by a periampullary diverticulum (double duct sign: simultaneous dilation of the common bile duct and pancreatic duct). Upper endoscopy showed one medium-sized periampullary diverticulum. This case emphasizes the diagnostic process and the importance of considering Lemmel syndrome in differential diagnosis in elderly patients with biliary obstruction. We discuss the prevalence, diagnostic considerations, including imaging modalities, and treatment options, emphasizing the need for further research.
Volume
16
Issue
6
First Page
61673
Last Page
61673
ISSN
2168-8184
Published In/Presented At
Vikash, F., Parajuli, S., Kumar, V., Patel, S., & Ho, S. (2024). Lemmel Syndrome: Unveiling the Underrecognized Pancreatobiliary Diagnosis, Management Strategies, and Future Directions. Cureus, 16(6), e61673. https://doi.org/10.7759/cureus.61673
Disciplines
Medicine and Health Sciences
PubMedID
38966462
Department(s)
Fellows and Residents
Document Type
Article