Lemmel Syndrome Detected on 99mTc-Mebrofenin Hepatobiliary Scintigraphy
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.
Authors
- Aakash Sethi (ORCID: https://orcid.org/0009-0000-3111-8878)
- Anish Bhattacharya (ORCID: https://orcid.org/0000-0002-2752-4416)
- Pareena Malik
- Usha Dutta (ORCID: https://orcid.org/0000-0002-9435-3557)
- G Sundareshan
- Suraj Kumar (ORCID: https://orcid.org/0000-0003-4286-6315)
- BhagwantRai Mittal
- Dhananjaya Saraswat
Institutions
- Post Graduate Institute of Medical Education and Research (IN)
Publication Details
- Journal
- Clinical Nuclear Medicine
- Published
- 2025-06-17
- DOI
- https://doi.org/10.1097/rlu.0000000000005736
- Primary Topic
- Pediatric Hepatobiliary Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00