Department of General Surgery, "A. Costa" Hospital - Porretta Terme, Bologna, Italy.
Department of Surgical Sciences, La Sapienza University, Rome, Italy.
Dig Dis Sci. 2022 Jul;67(7):2805-2808. doi: 10.1007/s10620-022-07571-z. Epub 2022 Jun 1.
We report a case of a 73-year-old woman affected by Lemmel's syndrome, a rare type of obstructive jaundice caused by a periampullary duodenal diverticulum. The patient was admitted to the Emergency Department for pneumonia associated with mild epigastric pain and vomiting. While hospitalized for antibiotic treatment, the appearance of jaundice led us to discover a periampullary duodenal diverticulum by endoscopy and CT scan. The jaundice was successfully managed endoscopically with removal of food debris from the diverticulum.
我们报告了一例 73 岁女性患有 Lemmel 综合征的病例，这是一种罕见的由十二指肠壶腹周围憩室引起的阻塞性黄疸。患者因肺炎伴轻度上腹痛和呕吐而入住急诊科。在住院接受抗生素治疗期间，出现黄疸，通过内镜和 CT 扫描发现十二指肠壶腹周围憩室。通过内镜成功地治疗了黄疸，从憩室中清除了食物残渣。
