Evidence map›Paper›PMID 40079035›Full record

ArticleJournal of surgical case reports2025

Gallbladder perforation due to the obstructing periampullary duodenal diverticulum (Lemmel's syndrome): a case report.

Shruti Sah, Nissant Subedi, Amit Shah, Pradeep Yadav, Narendra Pandit

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shruti SahDepartment of Gastrointestinal Surgery, Birat Medical College and Teaching Hospital (BMCTH), Tankisinwari, Morang, Biratnagar 56613, Nepal.ORCID https://orcid.org/0009-0004-9647-8240
Nissant SubediDepartment of Gastrointestinal Surgery, Birat Medical College and Teaching Hospital (BMCTH), Tankisinwari, Morang, Biratnagar 56613, Nepal.
Amit ShahDepartment of Gastrointestinal Surgery, Birat Medical College and Teaching Hospital (BMCTH), Tankisinwari, Morang, Biratnagar 56613, Nepal.
Pradeep YadavDepartment of Gastrointestinal Surgery, Birat Medical College and Teaching Hospital (BMCTH), Tankisinwari, Morang, Biratnagar 56613, Nepal.
Narendra PanditDepartment of Gastrointestinal Surgery, Birat Medical College and Teaching Hospital (BMCTH), Tankisinwari, Morang, Biratnagar 56613, Nepal.ORCID https://orcid.org/0000-0001-6904-7972

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lemmel's syndrome is a rare condition characterized by obstructive jaundice due to the periampullary duodenal diverticulum in the absence of choledocholithiasis or tumors. Its infrequent occurrence and non-specific clinical presentation can make it difficult to distinguish from other conditions. We present a case of Lemmel's syndrome in a 63-year-old male who exhibited symptoms of abdominal pain in right hypochondrium, vomiting, and fever. Imaging studies (magnetic resonance cholangiopancreatogram, computed tomography scan, and endoscopy) revealed an oval-shaped duodenal outpouching, distended gallbladder, common bile duct dilatation, and surprising localised gallbladder perforation leading to the diagnosis. Surgical intervention, including cholecystectomy and choledochoduodenostomy, successfully relieved the symptoms and biliary obstruction.

Indexed as

biliary stasisdiverticulumduodenumLemmel syndromeperiampullary

Identifiers

PMID40079035
PMCPMC11896789

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.