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首页> 外文期刊>Journal of Korean medical science >Lemmel's syndrome, an unusual cause of abdominal pain and jaundice by impacted intradiverticular enterolith: case report.
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Lemmel's syndrome, an unusual cause of abdominal pain and jaundice by impacted intradiverticular enterolith: case report.

机译：Lemmel's综合征，一种因憩室内肠结石受累而引起的腹痛和黄疸的异常原因：病例报告。

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摘要

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.
机译：在接受上消化道评估的患者中，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PAD通常不引起症状，但即使不存在胆总管结石症或肿瘤，它也可以成为阻塞性黄疸的来源。这种十二指肠憩室阻塞性黄疸综合征称为Lemmel综合征。一名81岁的妇女因阻塞性黄疸和胆管炎来到急诊室。腹部CT扫描显示远端CBD伴有CBD扩张的石质混浊。进行ERCP去除结石。但是，这块石头不在CBD内，而在PAD内。在PAD内切除肠石后，她的所有症状均得到解决。认识到这种情况非常重要，因为误诊可能导致管理不善和治疗延迟。当存在PAD时，应始终将Lemmel综合征作为梗阻性黄疸的鉴别诊断之一。

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