Year 2021 / Volume 113 / Number 6
Letter
Lemmel syndrome: an uncommon complication of periampular duodenal diverticulum

477-478

DOI: 10.17235/reed.2020.7537/2020

María del Mar Díaz Alcázar, Alicia Martín-Lagos Maldonado, Adelina García Robles,

Abstract
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.
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23/06/2021 11:22:13
Tras el resumen existe un botón que pone "descargar PDF"


22/06/2021 21:15:18
Imposible descargar este artículo, necesito ayuda


References
1. Tobin R, Barry N, Foley NM, et al. A giant duodenal diverticulum causing Lemmel syndrome. J Surg Case Rep 2018;2018(10):rjy263. doi: 10.1093/jscr/rjy263.
2. Kang HS, Hyun JJ, Kim SY, et al. Lemmel's syndrome, an unusual cause of abdominal pain and jaundice by impacted intradiverticular enterolith: case report. J Korean Med Sci 2014;29(6):874-8. doi: 10.3346/jkms.2014.29.6.874.
3. Desai K, Wermers JD, Beteselassie N. Lemmel syndrome secondary to duodenal diverticulitis: a case report. Cureus 2017;9(3):e1066. doi: 10.7759/cureus.1066.
4. Frauenfelder G, Maraziti A, Ciccone V, et al. Computed tomography imaging in Lemmel syndrome: a report of two cases. J Clin Imaging Sci 2019;9:23. doi: 10.25259/JCIS-17-2019.
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Díaz Alcázar M, Martín-Lagos Maldonado A, García Robles A. Lemmel syndrome: an uncommon complication of periampular duodenal diverticulum. 7537/2020


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Publication history

Received: 19/09/2020

Accepted: 23/09/2020

Online First: 03/12/2020

Published: 04/06/2021

Article Online First time: 75 days

Article editing time: 258 days


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