Combined endoscopic and surgical management of Mirizzi syndrome.
Mirizzi syndrome is a form of obstructive jaundice caused by a stone impacted in the gallbladder neck or the cystic duct that impinges on the common hepatic duct with or without a cholecystocholedochal fistula. This syndrome is a rare complication of cholelithiasis that accounts for 0.1% of all patients with gallstone disease. Preoperative recognition is necessary to prevent injury to the common duct during surgery. We present a patient with a preoperative diagnosis of type I Mirizzi syndrome that was confirmed and drained by endoscopic retrograde cholangiography (ERC), followed by subtotal cholecystectomy. A review of the literature covering its clinical presentation, diagnosis, and surgical treatment is also presented.
Hazzan
D
D
Department of Surgery, Bikur Cholim Hospital, Jerusalem, Israel.
Golijanin
D
D
Reissman
P
P
Adler
S N
SN
Shiloni
E
E
D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications*; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006500:Hepatic Duct, Common; D006801:Humans; D008297:Male; D008875:Middle Aged; D013577:Syndrome