Lemmel’s Plus Syndrome: An Unusual Cause of Obstructive Jaundice
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Periampullary diverticulum refers to extraluminal outpouching of duodenal mucosa that develops within a radius of 2cm from the ampulla of Vater. Usually asymptomatic; but can be sometimes associated with pancreaticobiliary and non pancreaticobiliary complications. Lemmel’s syndrome is a rare entity, refers to obstructive jaundice developing secondary to periampullary diverticulum in the absence of choledocholithiasis and tumour in the head of pancreas. Lemmel’s syndrome consists of classic triad obstructive jaundice, cholangitis and pancreatitis. In addition to classic triad our case revealed pneumobilia that has never been reported in literature, here by we coin a new terminology called lemmel’s plus syndrome that has 4 components: obstructive jaundice, cholangitis, pancreatitis and pneumobilia that is two pathology exists in lemmel’s plus syndrome element of obstruction and element of perforation.
Authors and Affiliations
V. R Rajendran, A M Abdul Latheef, Noufal Perumpalath, Ipsit I Menon, Sherinas Rehiman
Keywords
Related Articles
- EP ID EP544771
- DOI 10.21276/ijmrp.2017.3.2.057
- Views 63
- Downloads 0
Evaluation of Functional Outcome of Titanium Elastic Nail (TENS) in Femoral Shaft Fracture in Children
Introduction: Diaphyseal Fractures of the femur in children are common orthopaedic problem. The traditional method of treatment was hip spica casting, but in last two decades there have been a shift in the trend towards...
Management of Posterior Urethral Valve in Male Child Population
Introduction: The Posterior urethral valves remain the single most common urologic cause for renal failure and need for renal transplantation in children. These anomalies are unique to male children.PUVs are a common cau...
Effectiveness of Intragastric Balloon Placement in Obese Patients
Background: Intra-gastric balloon (IB) placement is gaining popularity for weight reduction. Objective: To assess effectiveness, tolerability and safety of IB for management of obesity. Methods and Materials: We retrospe...
Evaluation of Biochemical, Haematological Parameters and Noninvasive Prognostic Scores in Alcoholic Liver Disease with and without Complications
Background: Chronic and excessive alcohol ingestion is one of the major causes of liver disease in the industrialized nations. The spectrum of pathology of alcoholic liver injury ranges from fatty liver to alcoholic hepa...
A Comparative Study of Microscopic Detection Methods and Haematological Changes in Malaria
Objective: To find out the relative incidence of different species of Plasmodium, most sensitive method for detection and various hematological changes in Malaria. Methods: In 6 months study, blood sample were collected...