case_images: PMC11095166_01
case_images: Computed tomography of the abdomen and pelvis with IV contrast demonstrating periampullary duodenal diverticulitis (solid white arrow) with new mild dilation of the common bile duct (dotted white arrow) and intrahepatic bile ducts (white arrowheads).
case_images: 10.1177_23247096241253342-fig1.jpg
case_images: PMC11095166_01_10.1177_23247096241253342-fig1.jpg
case_images: fig1-23247096241253342
case_images: In addition, findings were suggestive of diverticulitis of a periampullary duodenal diverticulum with new mild dilation of the biliary tree which was to represent Lemmel syndrome (Figure 1).