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Cited 15 time in webofscience Cited 14 time in scopus
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Lemmel's Syndrome, an Unusual Cause of Abdominal Pain and Jaundice by Impacted Intradiverticular Enterolith: Case Report

Authors
Kang, Hyo SungHyun, Jong JinKim, Seung YoungJung, Sung WooKoo, Ja SeolYim, Hyung JoonLee, Sang Woo
Issue Date
Jun-2014
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Enterolith; Lemmel' s Syndrome; Periampullary Diverticulitis
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.6, pp.874 - 878
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
29
Number
6
Start Page
874
End Page
878
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9252
DOI
10.3346/jkms.2014.29.6.874
ISSN
1011-8934
Abstract
Duodenal diverticula are detected in up to 27% of patients undergoing upper gastrointestinal tract evaluation with periampullary diverticula (PAD) being the most common type. Although PAD usually do not cause symptoms, it can serve as a source of obstructive jaundice even when choledocholithiasis or tumor is not present. This duodenal diverticulum obstructive jaundice syndrome is called Lemmel's syndrome. An 81-yr-old woman came to the emergency room with obstructive jaundice and cholangitis. Abdominal CT scan revealed stony opacity on distal CBD with CBD dilatation. ERCP was performed to remove the stone. However, the stone was not located in the CBD but rather inside the PAD. After removal of the enterolith within the PAD, all her symptoms resolved. Recognition of this condition is important since misdiagnosis could lead to mismanagement and therapeutic delay. Lemmel's syndrome should always be included as one of the differential diagnosis of obstructive jaundice when PAD are present.
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Hyun, Jong Jin
Ansan Hospital (Department of Gastroenterology and Hepatology, Ansan Hospital)
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