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一例莱梅尔综合征：胆道非肿瘤性梗阻的罕见病因。

A case of Lemmel's syndrome: a rare cause of non-neoplastic obstruction of the biliary tract.

作者信息

Riaz Tahira, Riaz Saood Ahmed

机构信息

Department of General Surgery, University Hospital Waterford, Dunmore road Waterford, Waterford X91ER8E, Ireland.

出版信息

J Surg Case Rep. 2024 Dec 16;2024(12):rjae693. doi: 10.1093/jscr/rjae693. eCollection 2024 Dec.

DOI:10.1093/jscr/rjae693
PMID:39691811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649501/
Abstract

We report the case of a 77-year-old woman with jaundice but no evidence of choledocholithiasis or other alterations of the biliary tree except for a duodenal diverticulum. Lemmel's syndrome was diagnosed and an endoscopic sphincterotomy with stenting was performed. Lemmel's syndrome is a rare disease that must be considered as a cause of obstructive jaundice.

摘要

我们报告了一例77岁女性黄疸病例，除十二指肠憩室外，无胆总管结石或胆道树其他病变的证据。诊断为莱梅尔综合征，并进行了内镜括约肌切开术及支架置入术。莱梅尔综合征是一种罕见疾病，必须将其视为梗阻性黄疸的病因之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5587/11649501/3bda451f8cc8/rjae693f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5587/11649501/639ec79a92aa/rjae693f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5587/11649501/3bda451f8cc8/rjae693f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5587/11649501/639ec79a92aa/rjae693f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5587/11649501/3bda451f8cc8/rjae693f2.jpg

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本文引用的文献

1
Lemmel syndrome: an extraordinary cause of obstructive jaundice-a case report.莱梅尔综合征：梗阻性黄疸的罕见病因——病例报告
J Surg Case Rep. 2022 Jan 17;2022(1):rjab593. doi: 10.1093/jscr/rjab593. eCollection 2022 Jan.
2
Lemmel's Syndrome: A Rare Cause of Obstructive Jaundice Secondary to Periampullary Diverticulum.莱梅尔综合征：壶腹周围憩室继发梗阻性黄疸的罕见病因。
Eur J Case Rep Intern Med. 2017 May 5;4(6):000632. doi: 10.12890/2017_000632. eCollection 2017.
3
Lemmel's syndrome, an unusual cause of abdominal pain and jaundice by impacted intradiverticular enterolith: case report.
莱梅尔综合征：憩室内肠石嵌顿导致腹痛和黄疸的罕见病因：病例报告
J Korean Med Sci. 2014 Jun;29(6):874-8. doi: 10.3346/jkms.2014.29.6.874. Epub 2014 May 30.
4
Lemmel's syndrome as a rare cause of obstructive jaundice.莱美尔氏综合征作为一种罕见的阻塞性黄疸病因。
Clin Res Hepatol Gastroenterol. 2012 Dec;36(6):628-31. doi: 10.1016/j.clinre.2012.05.002. Epub 2012 Jul 4.