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Cirugía y cirujanos

On-line version ISSN 2444-054XPrint version ISSN 0009-7411


DAVILA-RUIZ, Ediel O. et al. Intermittent obstructive jaundice or Lemmel syndrome: case report and literature review. Cir. cir. [online]. 2020, vol.88, suppl.2, pp.60-65.  Epub Feb 08, 2022. ISSN 2444-054X.

We present the case of a 68-year-old patient with recurrent cholangitis and the presence of a duodenal diverticulum that compresses the bile duct. Lemmel syndrome is a rare entity reported in the literature, because duodenal diverticula rarely have symptoms (10%) and are usually diagnosed incidentally, 75% of these diverticula are periampullary, if they are located within 2.5 cm from the Vater ampule are juxtapapillary. Only 1% present complications. It should be considered in case of intermittent jaundice, cholangitis, as a differential diagnosis of psuedocysts, pancreatic head tumor or metastases.

Keywords : Acute cholangitis; Diverticulum; Periampullary duodenal diverticulum; Juxtapapillary diverticula; Duodenum; Lemmel syndrome.

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