14 Sep Chronic complications of symptomatic gallstone disease, such as Mirizzi syndrome, are rare in Western developed countries with an incidence. 17 Oct Mirizzi syndrome is an unusual presentation of obstructive jaundice caused by extrinsic compression of an extrahepatic biliary duct from one or. The Mirizzi syndrome refers to an uncommon phenomenon which results in extrinsic compression of an extrahepatic biliary duct from one or more calculi within.

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Videolaparoscopy complications in the management of biliary diseases.

The diet was released on the second day after surgery, with good acceptance. Our experience with 27 cases. Case 4 Case 4.

Mirizzi’s syndrome – Wikipedia

An impacted calculus in the Hartmann pouch or the cystic duct. Benign Obstruction of the common hepatic duct Mirizzi Syndrome: Intraoperatively, perivisceral firm adhesions is found, the gallbladder in most of the cases is scleroatrophic, sincrome or without cholecystoenteric fistula, the Calot’s fibrous triangle should arouse the suspicion of this entity.

Complete removal of the gallbladder of patients with Mirizzi syndrome can be difficult to achieve due to inflammation around Calot’s triangle Citations Publications citing this paper. The cholangiography performed by puncture or by Kehr drain as the first procedure is mandatory so that can outline the anatomy of the biliary tract 25 Mirizzi’s syndrome Mirizzi’s syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder causing compression of the common bile duct CBD or common hepatic ductresulting in obstruction and jaundice.

To avoid lesion of the common biliary duct, a partial cholecystectomy can constitute a safe alternative in the more complex cases 9. The Kehr drain is introduced into the common hepatic duct over the repair site. In such situation, one of the alternatives is to use technique on which partial cholecystectomy is performed through anterograde via with preservation of the infundibulum, followed by opening of the gallbladder, removal of the calculus of its interior, and choledocoplasty with suture of the fistulous orifice on the remaining wall of the gallbladder.


In the present series, cholecystocholedochal fistula was verified in three cases. This article has been cited by other articles mitizzi PMC. The first description is snidrome to Pablo Mirizziwhen he observed some factors which could cause extra hepatic cholesthasis in certain groups of patients carrying cholelithiasis 9.

Mirizzi Syndrome Imaging

If the fistula cannot be primarily corrected with the techniques stated above, the biliodigestive zindrome can be performed. The abdomen ultrasound showed cholelithiasis, bile duct of increased caliber measuring 1. Management of Mirizzi syndrome in the laparoscopic era. Mirizzi type I The use of the gallbladder infundibulum to close the orifice of the common hepatic duct is good because it consists of vascular tissue and it has mucosal similar to biliary duct.

Mirizzi’s syndrome

Patients with jaundice in the initial clinical presentation had their hepatic function appraised in the pre- and postoperative periods. The intra-operative findings showed impacted stone in the infundibula of the gallbladder or in the cystic duct of all the patients in the study.

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World J Surg ; From Wikipedia, the free encyclopedia. The Mirizzi syndrome, which was previously classified into four types, currently the coloentericystic fistula is being ve in as complication type V 1 Figure 1.

Diagnosis and treatment of Mirizzi syndrome: year Mayo Clinic experience. – Semantic Scholar

In the seven Skip to search form Skip to main content. Intraoperatively, there were adhesions of the transverse colon, duodenum and stomach in the ssindrome, which was found to be scleroatrophic and full of calculus. Support Radiopaedia and see fewer ads. The organs that can be involved in the cholecystoenteric fistula are the stomach, the duodenum and the colon. Radiography Generally, plain radiography is not useful in diagnosing Mirizzi syndrome.


The magnetic cholangiography showed cholelithiasis with intra and extra-hepatic biliary tract dilation up to the level of the distal common bile duct, which measured 1. Sections Mirizzi Syndrome Imaging. Mirizzi’s syndrome has no consistent or unique clinical features that distinguish it from other more common forms of obstructive jaundice. However, MRCP is not efficient at localizing a cholecystocholedochal fistula. Surg Clin North Am ; Mirizzi syndrome was classified as Csendes type I in five If you log out, you will be required to enter your username and password the next time you visit.

Korean Siindrome Hepatobiliary Pancreat Surg. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Seven cases with intra-operative diagnosis were submitted, to ultrasonography US before the operation that revealed cholelithiasis in six In the cholecystobiliary fistula, the calculus may migrate to the main biliary tract, while in the coloentericystic fistula the patient may show intestinal obstruction called biliary ileus 9.

Magnetic Resonance Imaging Typical magnetic resonance cholangiopancreatography MRCP findings of Mirizzi syndrome include the following [ 13141516 ]: Bile duct diseases, surgery. How to cite this article. Our experience with 27 cases International Seminars in Surgical Oncology ;5: Retrieved from ” https: