Science Links Japan | A Case of Lemmel's Syndrome Treated by Endoscopic Removal of a Food Residue from a Diverticulum.

A Case of Lemmel's Syndrome Treated by Endoscopic Removal of a Food Residue from a Diverticulum.

Accession number;03A0197688

Title;A Case of Lemmel's Syndrome Treated by Endoscopic Removal of a Food Residue from a Diverticulum.

Author; IMAO YASUYUKI (Higashi-Nihon Denshin Denwa, Kanto Byoin) SAKURAI YUKIHIRO (Higashi-Nihon Denshin Denwa, Kanto Byoin) OYAMA TAKANORI (Higashi-Nihon Denshin Denwa, Kanto Byoin) NIWA TOORU (Higashi-Nihon Denshin Denwa, Kanto Byoin) HIRAKAWA MASAMI (Higashi-Nihon Denshin Denwa, Kanto Byoin) ASAYAMA MASAKO (Higashi-Nihon Denshin Denwa, Kanto Byoin) KURAKATA HIDENORI (Higashi-Nihon Denshin Denwa, Kanto Byoin) DAITO KYOKO (Higashi-Nihon Denshin Denwa, Kanto Byoin) SATO YUZURU (Higashi-Nihon Denshin Denwa, Kanto Byoin)

Journal Title;Gastroenterol Endosc

Journal Code:G0608B

ISSN:0387-1207

VOL.45;NO.3;PAGE.267-272(2003)

Figure&Table&Reference;FIG.6, TBL.2, REF.17

Pub. Country;Japan

Language;Japanese

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. (author abst.)

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