Síndrome de Lemmel documentado con ecoendoscopia / Lemmel's Syndrome Documented with Endoscopic Ultrasound
Rev. colomb. gastroenterol
;
34(1): 69-72, ene.-mar. 2019. graf
Article
in Spanish
| LILACS
| ID: biblio-1003839
RESUMEN
Resumen La ictericia obstructiva es una causa frecuente de consulta en los servicios de urgencias. El síndrome de Lemmel se describe como un síndrome biliar obstructivo secundario a un divertículo duodenal perpipapilar en el que se han descartado otras causas de ictericia obstructiva. Se describe un caso de ictericia obstructiva en una paciente de 84 años, en la que se realiza resonancia magnética y endosonografía biliopancreática que descartan litiasis biliar; posteriormente, es llevada a colangiopancreatografía retrógrada endoscópica (CPRE), en la que se evidencia divertículo peripapilar sin coledocolitiasis, y se realiza papilotomía, luego de la cual la paciente presenta una evolución clínica favorable.
ABSTRACT
Abstract Obstructive jaundice is a frequent for patients to come to emergency services. Lemmel's syndrome is an obstructive biliary syndrome secondary to a papillary duodenal diverticulum for which other causes of obstructive jaundice have been ruled out. We describe a case of obstructive jaundice in an 84-year-old patient who underwent magnetic resonance imaging and biliopancreatic endosonography to rule out biliary lithiasis. Subsequently, the patient underwent ERCP where the papillary diverticulum was evident and without choledocholithiasis. A papillotomy was performed. Afterwards, the patient's clinical evolution was favorable.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Syndrome
/
Cholangiopancreatography, Endoscopic Retrograde
/
Jaundice, Obstructive
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. colomb. gastroenterol
Journal subject:
Gastroenterology
Year:
2019
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Hospital Universitario Nacional/CO
/
Universidad Nacional de Colombia/CO
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