A case of Lemmel's syndrome treated by endoscopic removal of a food residue from a diverticulum

Yasuyuki Imao, Yukihiro Sakurai, Takanori Oyama, Toru Niwa, Masami Hirakawa, Masako Asayama, Hidenori Kurakata, Kyoko Daito, Masayoshi Ito, Yuzuru Sato

Research output: Contribution to journalArticle

Abstract

A case of Lemmel's syndrome caused by food impaction in a juxtapapillary diverticulum was reported. The patient was a 58-year-old femele admitted to our hospital with complaints of right upper abdominal pain. MRCP showed the common bile duct obstruction by a large juxtapapillary diverticulum with massive contents. Endoscopic examination showed the juxtapapillary diverticulum filled with a food residue. There were no gallstones or other potential causes of obstruction. After endoscopic removal of a food residue using forceps, symptoms disappeared immediately. Endoscopic examination after treatment showed a bleeding ulcer caused by a massive food residue in the bottom of the large diverticulum. Follow-up MRCP 8 days after endoscopic treatment showed normal-caliber common bile duct. Follow-up endoscopy about 2 months after the treatment showed the intradiverticular ulcer scar. During 2 years of follow-up, this patient had no recurrent symptoms. MRCP was safe and effective for early diagnosis of Lemmel's syndrome with a large diverticulum and massive contents. Endoscopic removal provides immediate relief of the obstruction, and may be sufficient treatment for Lemmel's syndrome caused by a large juxtapapillary diverticulum with massive contents.

Original languageEnglish
Pages (from-to)267-272
Number of pages6
JournalGastroenterological Endoscopy
Volume45
Issue number3
Publication statusPublished - Mar 1 2003
Externally publishedYes

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Diverticulum
Food
Common Bile Duct
Ulcer
Cholestasis
Gallstones
Therapeutics
Surgical Instruments
Abdominal Pain
Endoscopy
Cicatrix
Early Diagnosis
Hemorrhage

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Imao, Y., Sakurai, Y., Oyama, T., Niwa, T., Hirakawa, M., Asayama, M., ... Sato, Y. (2003). A case of Lemmel's syndrome treated by endoscopic removal of a food residue from a diverticulum. Gastroenterological Endoscopy, 45(3), 267-272.

A case of Lemmel's syndrome treated by endoscopic removal of a food residue from a diverticulum. / Imao, Yasuyuki; Sakurai, Yukihiro; Oyama, Takanori; Niwa, Toru; Hirakawa, Masami; Asayama, Masako; Kurakata, Hidenori; Daito, Kyoko; Ito, Masayoshi; Sato, Yuzuru.

In: Gastroenterological Endoscopy, Vol. 45, No. 3, 01.03.2003, p. 267-272.

Research output: Contribution to journalArticle

Imao, Y, Sakurai, Y, Oyama, T, Niwa, T, Hirakawa, M, Asayama, M, Kurakata, H, Daito, K, Ito, M & Sato, Y 2003, 'A case of Lemmel's syndrome treated by endoscopic removal of a food residue from a diverticulum', Gastroenterological Endoscopy, vol. 45, no. 3, pp. 267-272.
Imao Y, Sakurai Y, Oyama T, Niwa T, Hirakawa M, Asayama M et al. A case of Lemmel's syndrome treated by endoscopic removal of a food residue from a diverticulum. Gastroenterological Endoscopy. 2003 Mar 1;45(3):267-272.
Imao, Yasuyuki ; Sakurai, Yukihiro ; Oyama, Takanori ; Niwa, Toru ; Hirakawa, Masami ; Asayama, Masako ; Kurakata, Hidenori ; Daito, Kyoko ; Ito, Masayoshi ; Sato, Yuzuru. / A case of Lemmel's syndrome treated by endoscopic removal of a food residue from a diverticulum. In: Gastroenterological Endoscopy. 2003 ; Vol. 45, No. 3. pp. 267-272.
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