Open AccessLemmel syndrome: an uncommon complication of periampular duodenal diverticulum
Author(s) -
M.M. Díaz Alcázar,
Alicia Martín Lagos Maldonado,
Adelina García Robles
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.7537/2020
Subject(s) - medicine , complication , hepatic diverticulum , diverticulum (mollusc) , duodenal diseases , general surgery , surgery , duodenum , meckel's diverticulum , gastroenterology , radiology
Lemmel's syndrome consists of obstructive jaundice due to compression of a periampular duodenal diverticulum (DDP), in the absence of choledocholithiasis or tumor. DDP are pseudodiverticula without a muscle layer within a radius of 2-3 centimeters from the ampulla of Vater. They rarely cause obstructive jaundice, although the prevalence is estimated at up to 22 % according to the sensitivity of the diagnostic test. They are usually incidental findings, but up to 1-5 % can be complicated with diverticulitis, bleeding, perforation, obstructive jaundice (Lemmel syndrome), choledocholithiasis, pancreatitis or cholangitis.