A Novel Technique of Intradiverticular Papillary Canulation Aided by EVL Band Ligator in a Case of Lemmel's Syndrome

Abstract A duodenal periampullary diverticulum can cause changes in the local anatomy and pose a challenge for the cannulation of the bile duct. Cannulation may be much more difficult if the ampulla is located within the diverticula. We present the case of a 40-year-old man who developed obstructive...

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Bibliographic Details
Published inJournal of digestive endoscopy Vol. 13; no. 1; pp. 050 - 052
Main Authors Subramanyam, Shanmuganathan, Bachkaniwala, Vatsal, Vikranth, Chunduri V.V., Ganesh, P
Format Journal Article
LanguageEnglish
Published A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01.03.2022
Subjects
Case Report
duodenal diverticulum
intradiverticular papilla
lemmel's syndrome
intradiverticular papilla
Lemmel's syndrome
duodenal diverticulum
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Summary:Abstract A duodenal periampullary diverticulum can cause changes in the local anatomy and pose a challenge for the cannulation of the bile duct. Cannulation may be much more difficult if the ampulla is located within the diverticula. We present the case of a 40-year-old man who developed obstructive jaundice and cholangitis because of the duodenal diverticula mechanically obstructing the common bile duct (Lemmel's syndrome). The papilla was located entirely within the duodenal diverticula and was brought out after placing endoscopic variceal ligation (EVL) bands. Biliary access and stenting could be done easily, after exposing the papilla. There were no complications during the procedure or the recovery period.
ISSN:0976-5042
0976-5050
DOI:10.1055/s-0041-1739565