Double-cannulation and large papillary balloon dilation: key to successful endoscopic treatment of mirizzi syndrome in low insertion of cystic duct.
Mirizzi syndrome is a rare cause of benign biliary obstruction and is often predisposed by low insertion of the cystic duct on the common hepatic duct. Through a case series of three patients, we emphasize the importance of double cannulation (cystic duct and hepatic duct) followed by sphincterotomy and large balloon papillary dilatation for successful endoscopic stone clearance in such patients.
IRCAD/EITS, Department of Gastrointestinal and Endocrine Surgery, Nouvel Hopital Civil, University of Strasbourg, Strasbourg, France. endoscoping@gmail.com
Gianfranco
G
Donatelli
Parag
P
Dhumane
Bernard
B
Dallemagne
Marx
M
Ludovic
Michel
M
Delvaux
Gerard
G
Gay
Jacques
J
Marescuax
D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000295:instrumentation*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003549:Cystic Duct; D005260:Female; D006801:Humans; D008297:Male; D057792:Mirizzi Syndrome / Q000175:diagnosis / Q000628:therapy*; D016717:Sphincterotomy, Endoscopic / Q000379:methods*