title: [Atypical presentation of a case of Mirizzi syndrome simulating cholangiocarcinoma].
abstract: OBJECTIVE
  The authors report their experience in the treatment of a case of Syndrome of Mirizzi (SM) that it simulates a cholangiocarcinoma.
  
  
  METHODS
  Report of 1 case. Evaluation of the effectiveness of the treatment and 2 years follow-up.
  
  
  METHODS
  Operative Unit of General and Thoracic Surgery, Department of Surgical, Anatomical and Oncological Disciplines. Policlinico, University of Palermo.
  
  
  METHODS
  Surgical treatment of the suspicious neoplastic lesion.
  
  
  RESULTS
  Complete recovery with "restitutio ad integrum".
  
  
  CONCLUSIONS
  The SM constitutes one important challenge from the diagnostic and therapeutic point of view, since it is not infrequent that the correct definition of this pathology is only intraoperative. The role of the videolaparoscopic cholecistectomy is not still well defined. To reduce the risks of lesion of the biliary tree during surgical intervention, also in case of diagnostic doubt, we propose an integrated approach of sequential type, with the exploration preoperative through ERCP and following surgical intervention.
authors.affiliation: Dipartimento di Chirurgia Generale, d'Urgenza e dei Trapianti d'Organo, Università degli Studi di Palermo, Unità Operativa di Chirurgia Generale ad Indirizzo Toracico. girgera@tin.it
authors.forename: C
authors.initials: C
authors.lastname: Sciumè
authors.forename: G
authors.initials: G
authors.lastname: Geraci
authors.forename: F
authors.initials: F
authors.lastname: Li Volsi
authors.forename: F
authors.initials: F
authors.lastname: Pisello
authors.forename: G
authors.initials: G
authors.lastname: Modica
mesh_terms: D001649:Bile Duct Diseases / Q000175:diagnosis; D001650:Bile Duct Neoplasms / Q000175:diagnosis; D001653:Bile Ducts, Intrahepatic; D001662:Biliary Tract Surgical Procedures; D018281:Cholangiocarcinoma / Q000175:diagnosis; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D002764:Cholecystitis / Q000000981:diagnostic imaging; D002769:Cholelithiasis / Q000175:diagnosis* / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis* / Q000601:surgery*; D002908:Chronic Disease; D003135:Common Bile Duct; D003549:Cystic Duct; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011860:Radiography, Abdominal; D013577:Syndrome; D013997:Time Factors; D014057:Tomography, X-Ray Computed
vernacular_title: Presentazione atipica di un caso di sindrome di Mirizzi che simula un colangiocarcinoma.