ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Case Report
Lemmel syndrome: a rare cause of obstructive jaundice (case report)
Abstract
Obstructive jaundice through periampullary duodenal diverticulum (PAD), without gallstones or neoplasms, was first described by Lemmel in 1934 as Lemmel syndrome. PAD can be diagnosed incidentally or suspected in patients with obstructive jaundice and nonspecific abdominal pain. It is a rare and benign condition that can be misdiagnosed as malignancy. Ignoring this, can cause morbidity and mortality. Definite diagnosis is made by Endoscopic Retrograde Cholangiopancreatography (ERCP). An accurate diagnosis is very important to ensure patient management and to avoid complications of delayed care. We present a case who coincidentally was diagnosed with PAD and thus obstructive jaundice.

Keywords : Lemmel sydrome, emergency medicine, obstructive jaundice, endoscopic retrograde cholangiopancreatography

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1. Bernshteyn M, Rao S, Sharma A, Masood U, Manocha D. Lemmel’sSyndrome: Usual Presentation of an Unusual Diagnosis. Cureus.2020;12(4):e7698. doi:10.7759/cureus.7698
2. Aourarh B, Tamzaourte M, Benhamdane A, et al. An Unusual Cause ofBiliary Tract Obstruction: Lemmel Syndrome. Clin Med Insights CaseRep. 2021;14:11795476211063321. doi:10.1177/11795476211063321
3. Gao AR, Matta A, Seth R, Bande D. Lemmel’s syndrome secondary tocommon bile duct compression by an inflamed duodenal diverticulum.Cureus. 2021;13(8):e16959. doi:10.7759/cureus.16959
4. Ergin A, Fersahoğlu MM, Kaya B, Onur E. Lemmel sendromu: duodenaldivertiküle bağlı karın ağrısı ve sarılığın nadir bir sebebi. HaydarpasaNumune Med J. 2017;57(2):104-106. Doi: 10.14744/hnhj.2017.58077
5. Volpe A, Risi C, Erra M, Cioffi A, Casella V, Fenza G. Lemmel’ssyndrome due to giant periampullary diverticulum: report of a case.Radiol Case Rep. 2021;16(12):3783-3786. doi:10.1016/j.radcr.2021.08.068
6. Alzerwi NAN. Recurrent ascending cholangitis with acute pancreatitisand pancreatic atrophy caused by a juxtapapillary duodenaldiverticulum: a case report and literature review. Medicine (Baltimore).2020;99(27):e21111. doi:10.1097/MD.0000000000021111
7. Chavez JCM, Andrade LAM, Ramos ADJ, et al. Cholangitis secondaryto Lemmel syndrome. case report. Arch Clin Gastroenterol. 2016;2(3):077-079.
8. Bellamlih H, Echchikhi M, El Farouki A, Moatassim Billah N, NassarI. An unusual cause of obstructive jaundice: Lemmel’s syndrome. BJRCase Rep. 2020;7(2):20200166. doi:10.1259/bjrcr.20200166
9. Azzam AZ, Alsinan TA, Alrebeh GA, Alhaider T, Alnaqaeb LJ,Amin TM. Lemmel syndrome as a rare cause of prolonged righthypochondrial pain: a case report. Cureus. 2021;13(12):e20093.doi:10.7759/cureus.20093
10. Oliveira DM, Correia C, Cunha F, Dias P. A rare cause of abdominalpain with fever. BMJ Case Rep. 2019;12(3):e228401. doi:10.1136/bcr-2018-228401
Article available in :
Volume 1, Issue 1, 2023
Page : 11-13
https://doi.org/10.51271/ICJEM-0003
Article Information
Received : 10 Mar 2023
Accepted : 29 Mar 2023
Published : 30 Mar 2023
Corresponding Author :

Fatma Sinem Hatipoğlu: İÜC Cerrahpaşa Tıp Fakültesi

[email protected]
Citation : Hatipoğlu FS, İpekci A. Lemmel syndrome: a rare cause of obstructive jaundice (case report). Intercont J Emerg Med. 2023;1(1):9-11.

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