SMF Schweizerisches Medizin-Forum 1424-4020 1424-3784 EMH Schweizerischer Ärzteverlag AG Farnsburgerstrasse 8 CH-4132 Muttenz 08430 10.4414/smf.2020.08430 Was ist Ihre Diagnose? Gastroenterologie und Hepatologie Infektiologie Labormedizin Notfallmedizin Radiologie Syndrome Ein ungewöhnlicher Ikterus Kubatzki Sara sarakubatzki@web.de Spitalstrasse 5 | Walenstadt | 8880 | SWITZERLAND Marinho Lourenço Carlos Spital Walenstadt Good Ignaz Spital Walenstadt Ribeiro Daniel Spital Walenstadt 29 07 2020 20 3134 459 462 Copyright: EMH Schweizerischer Ärzteverlag AG 2020 EMH Schweizerischer Ärzteverlag AG "Swiss Medical Forum" is an open access publication of EMH published in accordance with the terms of the Creative Commons licence attribution - NonCommercial - NoDerivatives 4.0 International. You are free to share, copy and redistribute the material in any medium or format under the following terms: Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. NonCommercial — You may not use the material for commercial purposes. NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material. "Non-commercial" means not primarily intended for or directed towards commercial advantage or monetary compensation. The incorporation of publications in commercial products, the use of publications to advertise for commercial products or services and any other usage that directly or indirectly pursues commercial interests is subject to the express previous consent of the publishing house as part of a written agreement. Please send us your request in writing. Exact indication of the publication from which you would like to reproduce material and detailed information about its intended use help to facilitate and expedite request processing. <p>Apart from bile duct stones or tumors, the Lemmel Syndrome can be a rare cause for jaundice. It is a duodenal diverticulum next to the papilla that can eventually lead to pancreaticobiliary complications. We refer to a 70-year-old male who presents with pain in the lower sternal area. In the course he develops fever and jaundice associated to an increase in infection and cholestasis laboratory parameters. First we suspected a bile duct stone to be the origin of cholangitis, nevertheless the ultrasound examination could not detect one. An MRCP disclosed the secret of a large duodenal diverticulum. Due to an enclosed food bolus and inflammatory swelling, a cholangitis with bacteremia was caused.</p>