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Clin Res Hepatol Gastroenterol. 2012 Dec;36(6):628-31. doi: 10.1016/j.clinre.2012.05.002. Epub 2012 Jul 4.

Lemmel's syndrome as a rare cause of obstructive jaundice.

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Department of Hepato-Pancreato-Biliary Surgery, Pôle des Maladies de l'Appareil Digestif , AP-HP, Beaujon Hospital, Clichy, France.


Obstructive jaundice is a frequent symptom most frequently resulting from choledocolithiasis or pancreatico-biliary and periampullary tumors. If duodenal diverticula are frequently asymptomatic, they can occasionally present with obstructive jaundice in the absence of lithiasis or another obstructing lesion such as a tumor in a presentation called Lemmel's syndrome. We herein present a 70-year-old male with obstructive jaundice secondary to a periampullary duodenal diverticulum associated with hepatic abscess. Endoscopic sphincterotomy associated with percutaneous abscess drainage released patient from all symptoms. Lemmel's syndrome as a rare cause of obstructive jaundice should be known in order to avoid mismanagement and therapeutic delay.

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