Medical Must-See: A patient with daffy ducts
Only three other cases of Lemmel syndrome with pancreas divisum have been reported, doctors say.
Doctors have uncovered two uncommon conditions in one woman, whose only complaint was eight months of “vague” abdominal pain.
The patient, 65, presented to the Habib Bourguiba Hospital in Tunisia, with no significant medical history, fever or jaundice.
Abdominal CT showed isolated dilation of the common bile duct (CBD) and a juxta-ampullary compressive duodenal diverticulum causing a mass effect on the distal CBD.
The doctors ordered magnetic resonance cholangiopancreatography that confirmed the duodenal diverticulum and the diagnosis of Lemmel syndrome.
