Aslan Serdar, Önder Ramazan Orkun
Department of Radiology, Giresun University, Faculty of Medicine, Giresun, Turkey.
Curr Med Imaging. 2023 Mar 6. doi: 10.2174/1573405619666230306104924.
INTRODUCTION/BACKGROUND: Lemmel's syndrome is defined as obstructive jaundice due to a PDD in the absence of choledocholithiasis or a neoplasm. The most common cause is the presence of PDD which arise within 2-3 cm from the ampulla of Vater. Currently, there are very few case reports of this condition, which was first named in 1934 after Dr. Gerhard Lemmel.
A 74-year-old female patient presented to the emergency department with complaints of abdominal pain and jaundice, and also had signs of pancreatitis, with laboratory results showing elevated liver and pancreatic enzymes and hyperbilirubinemia. We present a case of a patient who was diagnosed with Lemmel's syndrome after abdominal CT, MRCP, and ERCP.
Although rare, it is imperative for physicians to recognize this syndrome in order to deliver prompt care. Because making the correct diagnosis in these patients is very important for correct treatment and preventing the development of complications.
引言/背景：莱梅尔综合征被定义为在无胆总管结石或肿瘤的情况下，由十二指肠憩室引起的梗阻性黄疸。最常见的病因是距 Vater 壶腹 2 - 3 厘米范围内出现的十二指肠憩室。目前，关于这种疾病的病例报告非常少，该疾病于 1934 年首次以格哈德·莱梅尔医生的名字命名。
一名 74 岁女性患者因腹痛和黄疸到急诊科就诊，同时伴有胰腺炎体征，实验室检查结果显示肝酶、胰酶升高以及高胆红素血症。我们报告一例经腹部 CT、磁共振胰胆管造影（MRCP）和内镜逆行胰胆管造影（ERCP）诊断为莱梅尔综合征的患者。
尽管罕见，但医生必须认识到这种综合征以便及时治疗。因为对这些患者做出正确诊断对于正确治疗和预防并发症的发生非常重要。
