Debris-Filled Duodenal Diverticulum and Lemmel's Syndrome

Dig Dis Sci. 2022 Jul;67(7):2805-2808. doi: 10.1007/s10620-022-07571-z. Epub 2022 Jun 1.

Abstract

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.

Keywords: Duodenal diverticulum; Lemmel’s syndrome; Obstructive jaundice.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Aged
  • Diverticulum* / complications
  • Diverticulum* / diagnostic imaging
  • Diverticulum* / surgery
  • Duodenal Diseases* / complications
  • Duodenal Diseases* / diagnostic imaging
  • Female
  • Humans
  • Jaundice*
  • Jaundice, Obstructive* / etiology
  • Syndrome