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胀感、腹部不适、上消化道出血、十二指肠扩张、上腹部疼痛、恶心、胆汁排泄受阻
Lemmel syndrome is obstructive jaundice from a periampullary duodenal diverticulum compressing the common bile duct/pancreatic duct, presenting with jaundice, abdominal pain, and cholestasis. Treatment: ERCP with sphincterotomy/stent to relieve obstruction; antibiotics if cholangitis; surgical diverticulectomy/revision if refractory/recurrent; monitor for pancreatitis/cholangitis; imaging (MRCP/CT) to confirm; follow-up; treat complications.
Jaundice; abdominal pain; cholestasis; by periampullary diverticulum
Periampullary diverticulum compresses CBD/pancreatic duct.
ERCP/sphincterotomy/stent; surgery if refractory; antibiotics if cholangitis
Early recognition of unexplained cholestasis.
It is recommended to visit the Gastroenterology/Hepatobiliary-surgery department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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