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India | Radiology and Medical Imaging Sciences | Volume 14 Issue 7, July 2025 | Pages: 1251 - 1254
Lemmel's Syndrome: A Rare Cause of Obstructive Jaundice by Periampullary Diverticulum
Abstract: Obstructive jaundice is a common clinical presentation, most often caused by choledocholithiasis, pancreaticobiliary and periampullary tumors, or other conditions such as strictures or cholangitis. Although periampullary duodenal diverticula are frequently asymptomatic, they can sometimes present with obstructive jaundice-in the absence of gallstones or other obstructing lesions like tumors-a condition known as Lemmel's syndrome. Given the rarity of Lemmel's syndrome, a high index of suspicion is necessary to avoid mismanagement, such as unnecessary surgery or misdiagnosis, such as attributing the jaundice to more common causes like gallstones or tumors, and ensure timely appropriate treatment. Treatment depends on patient presentation and may involve conservative management, surgical procedures in the form of excision of the diverticulum, or even endoscopic sphincterotomy or stenting. We report a case of Lemmel's syndrome, successfully diagnosed via magnetic resonance cholangiopancreatography (MRCP) and further confirmed with computed tomography (CT) imaging.
Keywords: periampullary duodenal diverticulum, lemmel's syndrome, obstructive jaundice, MRCP
How to Cite?: Dr. Brinda Gevariya, Dr. Mitusha Verma, Dr. Parul Garde, Dr. Deepak Patkar, Dr. Neemish Kamat, Dr. Anju Wadhwa, "Lemmel's Syndrome: A Rare Cause of Obstructive Jaundice by Periampullary Diverticulum", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 1251-1254, https://www.ijsr.net/getabstract.php?paperid=SR25719155634, DOI: https://dx.doi.org/10.21275/SR25719155634
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