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Endoscopic ultrasound of Lemmel’s syndrome

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Abstract

Periampullary duodenal diverticula are common and are usually asymptomatic. However, complications like biliary or pancreatic obstruction, duodenal obstruction, perforation, or hemorrhage can occur occasionally. Obstructive jaundice is usually due to biliary stones and periampullary tumors. Rarely, duodenal diverticula may present with obstructive jaundice in the absence of cholelithiasis or other detectable obstacle. This condition is called Lemmel’s syndrome. There are only few case reports of this rare condition. We report a case of 78-year-old man presenting with painless obstructive jaundice due to Lemmel’s syndrome which was diagnosed on endoscopic ultrasonography.

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Authors and Affiliations

  1. Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, 250 001, India

    Piyush Somani & Malay Sharma

Authors
  1. Piyush Somani
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  2. Malay Sharma
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Correspondence to Piyush Somani.

Electronic supplementary material

Video 1

Linear endoscopic ultrasonography (EUS) from duodenal bulb showing periampullary diverticulum containing air compressing lower CBD. EUS from descending duodenum showing a duodenal diverticulum containing echogenic air droplets near ampulla. It shows water along with air bubbles (echogenic foci) moving from the duodenal lumen into the diverticulum (MP4 45,354 kb)

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Somani, P., Sharma, M. Endoscopic ultrasound of Lemmel’s syndrome. Indian J Gastroenterol 36, 155–157 (2017). https://doi.org/10.1007/s12664-017-0744-6

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  • DOI: https://doi.org/10.1007/s12664-017-0744-6

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