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ISSN 1665-2576 (Print)

2018, Number 3

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Rev Mex Cir Endoscop 2018; 19 (3)

Obstructive jaundice secondary to Lemmel’s syndrome. Case report

Melo MDK, Sánchez SVM, Dávila JGÁ

Language: Spanish
References: 9
Page: 110-112
PDF size: 246.23 Kb.


ABSTRACT

Introduction: Lemmel syndrome a rare entity, its a symptomatic biliary obstruction caused by a periampullary diverticulum. A clinical case is presented with this entity. Its diagnostic protocol, and operative management is described. Case report: A 71-year-old female without antecedents related to the present illness. Started 18 months ago with recurrent pain on the right hypochondrium associated with intermittent jaundice. Therefore, she is subjected to a laparoscopic cholecystectomy in another hospital unit. However, the patient persisted with jaundice, which is why she was referred to our service. Through ERCP we diagnose a juxta-papillary diverticulum without evidence of choledocholithiasis. Conclusions: Lemmel’s syndrome is a rare entity and its diagnosis requires; in addition to a high index of suspicion, multimodal imaging studies (US, MRI and/or endoscopy, ERCP). The therapeutic decisions focus on achieving an adequate drainage of the bile duct.


REFERENCES

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