Sosa FLR, Díaz HPI, Peñaloza PMA

Language: Spanish
References: 7
Page: 163-165
PDF size: 248.72 Kb.

ABSTRACT

Lemmel's syndrome is defined as the presence of jaundice with an obstructive pattern in patients with duodenal diverticula, in the absence of choledocholithiasis or neoplasms. They can be observed in up to 22% of the population, which increases with age. The importance lies in the fact that most duodenal diverticula are found in the second portion of the duodenum, adjacent to the ampulla of Vater or at a distance of 2-3 cm, so they not only cause mechanical compression of the bile duct, but also induce sphincter of Oddi dysfunction. We present the case of a 51-year-old male patient, with pain in the clinical picture of acute pancreatitis, where the most frequent cases of acute pancreatitis were ruled out, undergoing endoscopic retrograde cholangiopancreatography, where the duodenal diverticulum was evidenced.

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