Somani Piyush, Sharma Malay
Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, 250 001, India.
Indian J Gastroenterol. 2017 Mar;36(2):155-157. doi: 10.1007/s12664-017-0744-6. Epub 2017 Mar 23.
Periampullary duodenal diverticula are common and are usually asymptomatic. However, complications like biliary or pancreatic obstruction, duodenal obstruction, perforation, or hemorrhage can occur occasionally. Obstructive jaundice is usually due to biliary stones and periampullary tumors. Rarely, duodenal diverticula may present with obstructive jaundice in the absence of cholelithiasis or other detectable obstacle. This condition is called Lemmel's syndrome. There are only few case reports of this rare condition. We report a case of 78-year-old man presenting with painless obstructive jaundice due to Lemmel's syndrome which was diagnosed on endoscopic ultrasonography.
壶腹周围十二指肠憩室很常见，通常无症状。然而，偶尔会出现诸如胆管或胰腺梗阻、十二指肠梗阻、穿孔或出血等并发症。梗阻性黄疸通常由胆结石和壶腹周围肿瘤引起。十二指肠憩室在无胆石症或其他可检测到的梗阻情况下很少出现梗阻性黄疸。这种情况称为莱梅尔综合征。关于这种罕见病症的病例报告很少。我们报告一例78岁男性因莱梅尔综合征出现无痛性梗阻性黄疸，通过内镜超声检查确诊。
