A large common bile duct stone migrated from the gallbladder through a cholecystohepaticodochal fistula: an unusual complication of Mirizzi syndrome type II.
Mirizzi syndrome with a biliobiliary fistula (Mirizzi syndrome type II) is a rare complication of a long-standing gallbladder stone disease. It is even rarer for a gallbladder stone to migrate through a biliobiliary fistula into the common duct. We encountered this interesting complication of Mirizzi syndrome type II in an 86 year-old female patient. A large gallbladder stone migrated into, and impacted into the distal common bile duct through a cholecystohepaticodochal fistula. The stone was resistant to mechanical lithotripsy and was treated with biliary endoprosthesis and oral bile acids.
Chung
J P
JP
Department of Internal Medicine, Yong Dong Severacne Hospital, Yonsei University College of Medicine, Seoul, Korea.
Cho
H G
HG
Chon
C Y
CY
Park
H J
HJ
Lee
K S
KS
Kang
J K
JK
Park
I S
IS
Kim
K W
KW
D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000150:complications*; D002769:Cholelithiasis / Q000150:complications*; D003137:Common Bile Duct Diseases / Q000150:complications*; D005260:Female; D005402:Fistula / Q000150:complications*; D042882:Gallstones / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D013577:Syndrome