[Mirizzi syndrome and its variants].
Between 1981 and 1987 5434 patients were studied by ERCP in Allgemeines Krankenhaus Hamburg-Barmbeck. 26 (i.e. 0.43%) suffered from Mirizze syndrome with the triad of cholelithiasis, cholecystitis and obstructive biliary disease. They were classified in four different types according to the variable localisation and origin of the biliary obstruction. 16 patients corresponded to the classical type (I and II) with compression, penetration, and obturation by the concrement, five patients matched borderline with infiltration (III) and five patients were classified as variants of this syndrome. A mild elevation of serum bilirubine and alkaline phosphatase indicated more likely the benign etiology of type I to III, however, a marked elevation of alkaline phosphatase in the variants suggested more likely a malignant underlying disease. The diagnosis was ascertained in all cases by ERC and sonography preoperatively and was verified by laparotomy (n = 18) and follow-up (n = 6).
Zentrum Konservative Medizin I der Universität Kiel.
G J
GJ
Meyer
D
D
Runge
J
J
Gebhardt
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002764:Cholecystitis / Q000145:classification / Q000000981:diagnostic imaging*; D002769:Cholelithiasis / Q000145:classification / Q000000981:diagnostic imaging*; D001651:Cholestasis, Extrahepatic / Q000145:classification / Q000000981:diagnostic imaging*; D003549:Cystic Duct / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013577:Syndrome
Das Mirizzi-Syndrom und Varianten.