A giant duodenal diverticulum causing Lemmel syndrome

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dc.contributor.author Tobin, Roseanne
dc.contributor.author Barry, Niamh
dc.contributor.author Foley, Niamh M.
dc.contributor.author Cooke, Fiachra
dc.date.accessioned 2019-11-20T06:07:36Z
dc.date.available 2019-11-20T06:07:36Z
dc.date.issued 2018-10-16
dc.identifier.citation Tobin, R., Barry, N., Foley, N.M. and Cooke, F., 2018. A giant duodenal diverticulum causing Lemmel syndrome. Journal of Surgical Case Reports, 2018(10), (rjy263). DOI:10.1093/jscr/rjy263 en
dc.identifier.volume 2018 en
dc.identifier.issued 10 en
dc.identifier.startpage 1 en
dc.identifier.endpage 3 en
dc.identifier.uri http://hdl.handle.net/10468/9160
dc.identifier.doi 10.1093/jscr/rjy263 en
dc.description.abstract An 80-year-old female, with a known periampullary giant duodenal diverticulum, presented to the emergency department with general deterioration. While not clinically icteric, her laboratory investigations revealed an obstructive jaundice. MRCP demonstrated mild distension of the gallbladder with several calculi. There was intra- and extra-hepatic biliary dilatation to the level of the ampulla. A giant fluid and air filled periampullary duodenal diverticulum measuring ~8 cm in the long axis was noted. The CBD was dilated to the level of this diverticulum and the cause of the patient’s biliary dilatation and obstruction. A rare pancreaticobiliary complication of duodenal diverticula is Lemmel syndrome. Lemmel syndrome is defined as an obstructive jaundice caused by a periampullary duodenal diverticulum compressing the intra-pancreatic portion of the common bile duct with resultant dilatation of the extra- and intra-hepatic bile ducts. Recognition of this condition is important, as delayed diagnosis can result in unnecessary further investigations. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Oxford University Press en
dc.relation.uri https://academic.oup.com/jscr/article/2018/10/rjy263/5132985
dc.rights © The Author(s) 2018. Published by Oxford University Press and JSCR Publishing Ltd en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Giant duodenal diverticulum en
dc.subject Lemmel syndrome en
dc.subject Emergency department en
dc.title A giant duodenal diverticulum causing Lemmel syndrome en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Roaseanne Tobin, Department of Surgery (Academic), University College Cork, Cork, Ireland. +353-21-490-3000 en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Surgical Case Reports en
dc.identifier.articleid rjy263 en
dc.identifier.eissn 2042-8812

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© The Author(s) 2018. Published by Oxford University Press and JSCR Publishing Ltd Except where otherwise noted, this item's license is described as © The Author(s) 2018. Published by Oxford University Press and JSCR Publishing Ltd
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