INTERMITTENT OBSTRUCTIVE JAUNDICE DUE TO A DUODENAL DIVERTICULUM: LEMMEL’S SYNDROME INITIALLY MISSED ON CT BUT LATER EVINCED WITH MAGNETIC RESONANCE CHOLANGIOGRAPHY AND ENDOSCOPY
Bibliographic record
Abstract
ue to a mechanical obstruction of the common bile duct, Lemmel's syndrome arises when a duodenal diverticulum induces obstructive jaundice. Intermittent obstructive jaundice is a rare conditionreported in 2-7% of patients undergoing studies. Although the majority of the diverticula are asymptomatic when the symptoms are present, they usually consist of jaundice, abdominal pain, or acute cholangitis; these symptoms can be intermittent. The imaging methods in diagnosing Lemmel's syndrome are crucial; the CT scan and magnetic resonance cholangiography (MRC) revealed periampullary diverticula on the medial wall of the second portion of the duodenum. Treatment varies depending on the aetiology and underlying cause. However, diverticulectomy remains the standard of care.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".