Mirizzi syndrome with a double biliary fistula.
Mirizzi syndrome is a partial obstruction of the biliary tree caused by a stone impacted in the cystic duct, with or without development of a cholecystobiliary fistula. Clinical signs are non-specific and suggest at first an obstructive jaundice. We describe a patient with a type I Mirizzi syndrome with a cholecystocolic and a cholecysto-internal biliary fistula. The diagnosis was suggested by ultrasonography and tomodensitometry, and confirmed by endoscopic retrograde cholangiopancreatography. A partial cholecystectomy with a Roux-en-Y hepaticojejunostomy reconstruction was performed. A review of the literature covering its clinical presentation, diagnosis and surgical treatment is presented.
De Keuleneer
R
R
Department of General Surgery, CHR Val de Sambre, Sambreville, Belgium.
Maassarani
F
F
Lallemand
B
B
D000368:Aged; D001658:Biliary Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001651:Cholestasis, Extrahepatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D013577:Syndrome