{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:19:09Z","timestamp":1792001949129,"version":"4.4.0"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["clinicalimagingscience.org"],"crossmark-restriction":true},"short-container-title":["JCIS"],"abstract":"<jats:p>Lemmel syndrome is a pancreaticoduodenal disease caused by compression of the mid or distal common bile duct by a periampullary diverticulum. This condition should be considered a rare complication of a duodenal diverticulum and an unusual cause of obstructive jaundice. Because of its infrequent occurrence and non-specific clinical presentation, Lemmel syndrome can mimic other conditions. We herein report the clinical and imaging findings (computed tomography, magnetic resonance imaging) of a patient who presented with intermittent abdominal pain and jaundice. Large air-filled outpouching lesions of the duodenum compressed the biliary duct, resulting in upstream biliary ductal dilatation that led to the diagnosis of Lemmel syndrome.<\/jats:p>","DOI":"10.25259\/jcis_9_2023","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T09:40:55Z","timestamp":1682070055000},"page":"11","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Lemmel syndrome, a rare cause of obstructive jaundice by periampullary duodenal diverticulum: Case report and review of the literature"],"prefix":"10.25259","volume":"13","author":[{"given":"Massupa","family":"Krisem","sequence":"first","affiliation":[{"name":"Ramathibodi Medical School, Chakri Naruebodin Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakarn, Thailand,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pornrujee","family":"Hirunpat","sequence":"additional","affiliation":[{"name":"Ramathibodi Medical School, Chakri Naruebodin Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakarn, Thailand,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuttapat","family":"Tungtrongchitr","sequence":"additional","affiliation":[{"name":"Ramathibodi Medical School, Chakri Naruebodin Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakarn, Thailand,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"key":"10.25259\/JCIS_9_2023\/ref-1","doi-asserted-by":"publisher","first-page":"23","DOI":"10.25259\/JCIS-17-2019","article-title":"Computed tomography imaging in lemmel syndrome: A report of two cases","volume":"9","author":"Frauenfelder","year":"2019","journal-title":"J Clin Imaging Sci"},{"key":"10.25259\/JCIS_9_2023\/ref-2","doi-asserted-by":"publisher","first-page":"rjab593","DOI":"10.1093\/jscr\/rjab593","article-title":"Lemmel syndrome: An extraordinary cause of obstructive jaundice-a case report","volume":"2022","author":"Goroztieta-Rosales","year":"2022","journal-title":"J Surg Case Rep"},{"key":"10.25259\/JCIS_9_2023\/ref-3","doi-asserted-by":"publisher","first-page":"e1066","DOI":"10.7759\/cureus.1066","article-title":"Lemmel syndrome secondary to duodenal diverticulitis: A case report","volume":"9","author":"Desai","year":"2017","journal-title":"Cureus"},{"key":"10.25259\/JCIS_9_2023\/ref-4","doi-asserted-by":"publisher","first-page":"3783","DOI":"10.1016\/j.radcr.2021.08.068","article-title":"Lemmel's syndrome due to giant periampullary diverticulum: Report of a case","volume":"16","author":"Volpe","year":"2021","journal-title":"Radiol Case Rep"},{"key":"10.25259\/JCIS_9_2023\/ref-5","doi-asserted-by":"publisher","first-page":"874","DOI":"10.3346\/jkms.2014.29.6.874","article-title":"Lemmel's syndrome, an unusual cause of abdominal pain and jaundice by impacted intradiverticular enterolith: Case report","volume":"29","author":"Kang","year":"2014","journal-title":"J Korean Med Sci"},{"key":"10.25259\/JCIS_9_2023\/ref-6","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1016\/j.clinre.2012.05.002","article-title":"Lemmel's syndrome as a rare cause of obstructive jaundice","volume":"36","author":"Rouet","year":"2012","journal-title":"Clin Res Hepatol Gastroenterol"},{"key":"10.25259\/JCIS_9_2023\/ref-7","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1148\/radiol.2019162375","article-title":"Case 265: Lemmel syndrome or biliary obstruction due to a periampullary duodenal diverticulum","volume":"291","author":"Venkatanarasimha","year":"2019","journal-title":"Radiology"},{"key":"10.25259\/JCIS_9_2023\/ref-8","first-page":"2132","article-title":"Duodenal diverticulum causing intermittent-persistent cholestasis. 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