Abstract

GUZMAN, José et al. Lemmel syndrome: Intemittent obstructive jaundice: Clinical case. Gen [online]. 2014, vol.68, n.3, pp.108-111. ISSN 0016-3503.

Diverticular formation of the digestive tract is a common disease, the duodenum is the second most common site of diverticula in the digestive tract, usually seen between 50 and 65, but may be present in all ages and affect both genders with slight predominance in women. Its symptoms are vague and occurs in less than 10% of cases, but when presented gives symptoms and complications such as diverticulitis, obstruction, perforation or even pancreabilliary serious conditions such as obstructive jaundice, cholangitis and choledocholithiasis. We report the case of a female patient admitted to IVSS Dr. Miguel Perez Carreño Hospital with abdominal pain, jaundiced skin and mucous membranes, and acolia coluria further increases thermal unquantified. Alteration of cholestatic profile. Abdominal ultrasound: dilatation of intra- and extrahepatic bile duct, cholecystectomy. Colangioresonancia: 1. Dilated intrahepatic and extrahepatic bile ducts. 2. abrupt stenosis of the common bile "pencil-point". Endoscopic Ultrasound: 1. Dilated intrahepatic and extrahepatic bile ducts. 2. duodenal diverticulum? Superior Digestive Endoscopy: Diverticula (2) Duodenal. In view of clinical and paraclinical improvement and evidence Juxtapapillary diverticula diagnosis of intermittent ictéricobstructivo syndrome arises by relation to duodenal diverticula.

Keywords : intermittent obstructive jaundice; Lemmel syndrome; duodenal diverticula.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )