A Pouch Of Trouble For The Pancreas: Unmasking A Case Of Lemmel Syndrome

Authors

• Aravindharaj Tamilselvan, Department of Radiodiagnosis, Madha Medical College and Research Institute, Chennai, Tamil Nadu, IndiaFollow
• Sabari Ramesh, Department of Radiodiagnosis, Madha Medical College and Research Institute, Chennai, Tamil Nadu, IndiaFollow

Abstract

Lemmel syndrome is a rare cause of biliary and pancreatic obstruction arising from periampullary duodenal diverticula. We report a 72-year-old woman presenting with acute pancreatitis, biliary dilation, and a periampullary diverticulum causing distal CBD compression. Multimodality imaging, including CT and MRCP, established the diagnosis. Although ERCP was advised, the patient declined and improved with conservative management. Early recognition of this uncommon entity is essential to prevent recurrent pancreatobiliary complications.

Recommended Citation

Tamilselvan, Aravindharaj and Ramesh, Sabari (2025) "A Pouch Of Trouble For The Pancreas: Unmasking A Case Of Lemmel Syndrome," Manipal Journal of Medical Sciences: Vol. 10: Iss. 1, Article 10.
DOI: https://doi.org/10.55889/2582-5984.1199
Available at: https://impressions.manipal.edu/mjms/vol10/iss1/10