Lemmel Syndrome Detected on 99m Tc-Mebrofenin Hepatobiliary Scintigraphy.

Saraswat, Dhananjaya; Malik, Pareena; Kumar, Suraj; Sethi, Aakash; Sundareshan, Govindasamy; Dutta, Usha; Mittal, Bhagwant Rai; Bhattacharya, Anish · Clin Nucl Med · 2025

case_report · Level V

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Abstract

Lemmel syndrome is a rare clinical condition characterized by cholestatic jaundice caused by compression of the common bile duct (CBD) by a periampullary duodenal diverticulum. The authors present a patient with post-cholecystectomy jaundice, in whom 99m Tc-Mebrofenin hepatobiliary scintigraphy showed pooling of tracer activity in the proximal CBD with delayed bilioenteric drainage. Single photon emission computed tomography/computed tomography detected a duodenal diverticulum medially displacing and compressing the distal CBD, which was corroborated by magnetic resonance cholangiopancreatography.

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