Mirizzi syndrome: a challenging diagnosis. Case report.
G Chir
; 40(3): 193-198, 2019.
Article
em En
| MEDLINE
| ID: mdl-31484008
ABSTRACT
Mirizzi Syndrome (MS) is an uncommon complication of chronic gallstone disease defined as a common bile duct (CBD) obstruction secondary to gallstone impaction in the cystic duct or gallbladder neck. MS is still a challenging clinical situation preoperative diagnosis of MS is complex and can be made in 18-62.5% of patients. Over 50% of patients with MS is diagnosed during surgery. In most of cases, laparotomy is the preferred surgical approach. We report the case of a 70-year-old woman with a history of asthenia, jaundice, abdominal pain and preoperative imaging that suggest the presence of biliary stones with a choledocal stenosis. Intraoperatively, a MS with cholecysto-biliary fistula involving less than two-thirds of the circumference of the bile duct was diagnosed and successfully treated.
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Base de dados:
MEDLINE
Assunto principal:
Fístula Biliar
/
Doenças do Ducto Colédoco
/
Síndrome de Mirizzi
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article