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首页> 外文期刊>Oncology, Gastroenterology and Hepatology Reports >An Unusual Case of Painless Obstructive Jaundice and Cholangitis: Lemmel’s Syndrome- A Case Report
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An Unusual Case of Painless Obstructive Jaundice and Cholangitis: Lemmel’s Syndrome- A Case Report

机译：罕见的无痛性梗阻性黄疸和胆管炎病例：莱梅尔综合症-病例报告

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A unusual case of periampullary duodenal diverticulum causing obstructive jaundice. Duodenal diverticula are detected in up to 27% of patients undergoing upper gastrointestinal endoscopy with periampullary diverticula (PAD) being the most common type. Although periampullary diverticula rarely cause obstructive jaundice when choledocholithiasis or tumor is not present. The periampullary duodenal diverticulum causing extrinsic compression of common bile duct and obstructive jaundice is called Lemmel’s syndrome. An 58-yr-old woman came to the emergency room with obstructive jaundice and cholangitis. Abdominal CT scan revealed PAD compressing distal CBD with CBD dilatation. PAD shows signs of inflammation in CT scan and Endoscopy. Recognition of this condition is important since misdiagnosis could lead to mismanagement and therapeutic delay. Whenever PAD is present it should always be included as one of the differential diagnosis of obstructive jaundice.
机译：壶腹周围十二指肠憩室的异常情况导致阻塞性黄疸。在接受上消化道内镜检查的患者中，多达27％的患者发现十二指肠憩室，壶腹周围憩室（PAD）是最常见的类型。尽管壶腹胆石症或肿瘤不存在时壶腹周围憩室很少引起阻塞性黄疸。壶腹周围十二指肠憩室引起胆总管的外在压迫和阻塞性黄疸称为Lemmel综合征。一名58岁的妇女因阻塞性黄疸和胆管炎来到急诊室。腹部CT扫描显示PAD压缩远端CBD并伴有CBD扩张。 PAD在CT扫描和内窥镜检查中显示炎症迹象。认识到这种情况很重要，因为误诊可能导致管理不善和治疗延迟。只要有PAD，就应始终将其作为梗阻性黄疸的鉴别诊断之一。

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