[The Mirizzi syndrome. Analysis of an unknown complication of the gallstones].
BACKGROUND
Mirizzi syndrome is one possible complication of the gallstones. The incidence in patients treated with cholecystectomy is 0.7-1.1%.


METHODS
We have analyzed on 4123 colecistectomie conduct in Unit of General Surgery and Organ Transplantation of the University of Parma from January 1992 to October 2006, 46 cases of syndrome of Mirizzi (1.1%) with age comprised between 29-82 years (medium 67.8 years) were 28 women (60.9%) and 18 men (39.1%). We have considered the symptomatology, the diagnostic and therapeutic way, the comorbidity.


RESULTS
In 19 cases (41.3%) there were the signs of acute cholecystitis; in 28 cases (60.9%) the clinical picture was characterized from repeated biliary pain. The jaundice was present in 29 cases (63%) with hyperpyrexia (>38 degrees) in 27 cases (58.7%). In 14 cases (30.4%) was a Mirizzi type I, in 32 cases (69.6%) a Mirizzi of type II.


CONCLUSIONS
The Mirizzi syndrome is a diagnosis frequently conduct intraoperatively. The surgical therapy is characterized by the acknowledgment of the biliary structures, the complete removal of the stones, the surgical therapy of the leaks.
Sianesi
Mario
M
Università degli Studi di Parma, Scuola di Medicina, Dipartimento di Scienze Chirurgiche, Chirurgia Generale e Trapianti di Organi, Parma, Italy.
Soliani
Paolo
P
Dell'Abate
Paolo
P
Arcuri
Maria Francesca
MF
Ferreri
Giovanni
G
Del Rio
Paolo
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D002779:Cholestasis / Q000209:etiology*; D003135:Common Bile Duct; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000601:surgery; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D013577:Syndrome