International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064


Downloads: 1 | Views: 42 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Informative Article | Radiology and Medical Imaging Sciences | India | Volume 13 Issue 1, January 2024 | Rating: 4.4 / 10


Lemmel Syndrome: A Rare Cause of Obstructive Jaundice

Dr. Hiral Pansuriya


Abstract: This article presents a unique case of Lemmel syndrome, a rare condition causing obstructive jaundice, in a 65 - year - old male. The patient exhibited symptoms of yellowish skin and sclera, accompanied by pruritus. Diagnostic tests revealed elevated bilirubin and liver enzymes, indicating an obstructive liver pattern. Crucially, CECT abdomen imaging identified a peri ampullary duodenal diverticulum obstructing the common bile duct, leading to biliary ductal dilatation. This condition, first described in 1934 by Lemmel, is characterized by biliary obstruction due to a peri ampullary duodenal diverticulum in the absence of choledocholithiasis or distal neoplasms. The patient was managed conservatively and monitored through follow - up, declining invasive intervention. The article underscores the importance of considering Lemmel syndrome in differential diagnosis for obstructive jaundice, especially when common causes are absent. It also emphasizes the utility of CT and MRI in diagnosing this condition, and discusses various treatment options, including surgical resection, endoscopic intervention, and conservative management, highlighting the complexity of surgical intervention in this region.


Keywords: Lemmel syndrome, obstructive jaundice, peri ampullary duodenal diverticulum, CECT abdomen, conservative management


Edition: Volume 13 Issue 1, January 2024,


Pages: 1023 - 1024


How to Download this Article?

Type Your Valid Email Address below to Receive the Article PDF Link


Verification Code will appear in 2 Seconds ... Wait

Top