Nikita Rolekar and Sidharth Misra*

Department of General Surgery, Terna Specialty Hospital and Research Centre, India

*Corresponding Author: Sidharth Misra, Department of General Surgery, Terna Specialty Hospital and Research Centre, India.

Received: January 09, 2023; Published: February 02, 2023

Abstract

Although, it is a reflex to link right hypochondrial pain and obstructive jaundice to choledocholithiasis, there are many rare causes out of which Lemmel syndrome is one of them. It occurs when a duodenal diverticulum causes mechanical obstruction of the common bile duct. Imaging modalities play a vital role in the diagnosis as it can be easily misdiagnosed. We report the case of a 55-year-old male presenting with right hypochondrial pain and loss of appetite. On physical examination, there was tenderness in the right upper quadrant. Initial blood investigations revealed an elevated total leukocyte count with a neutrophilic predominance and an elevated liver function test. A contrast enhanced CT was ordered that revealed two duodenal diverticula causing mass effect on the distal CBD and the pancreatic duct. Subsequently, the patient was managed conservatively that led to a significant decline in the signs and symptoms.

Keywords: Lemmel Syndrome; Obstructive Jaundice; Duodenal Diverticulum; Right Hypochondrial Pain

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Citation: Nikita Rolekar and Sidharth Misra. “Lemmel Syndrome: A Rare Cause of Right Hypochondrial Pain Secondary to Duodenal Diverticulum". Acta Scientific Clinical Case Reports 4.3 (2023): 03-07.

Copyright: © 2022 Nikita Rolekar and Sidharth Misra. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.