Mirizzis 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 hepatic duct, resulting in obstruction and jaundice. Symptoms of recurrent cholangitis, jaundice, right upper quadrant pain, and elevated bilirubin and alkaline phosphatase may or may not be present. Castor samaniego a, valeria sanabria z, anibal filartiga l. Preoperative diagnosis of mirizzi syndrome is complex and a high index of suspicion is necessary to avoid serious complications. To determine the clinical presentation of ms, to classify the lesions, and immediate treatment. Castor samaniego a 1, valeria sanabria z 1, anibal filartiga l 1. Sick, sia uomini che donne assolutamente tutte le razze e nazioni. The initial surgical approach was carried on by laparoscopic via that confirmed. The obstructive jaundice can be caused by direct extrinsic compression by the stone or from fibrosis caused by chronic cholecystitis inflammation.
Pdf mirizzi syndrome, known as extrinsic bile compression syndrome, is a rare complication of. Eeuu erben y 2011 division of gastroenterologic and general surgery. The surgical treatment of the mirizzi syndrome requires ability and care in the dissection of the biliary tract in order to perform the cholecystectomy, a safe operation of the biliary tract can be avoided and the removal of the calculus so can avoid any iatrogeny in the biliary tract, as in this particular case, where was opted to dissect the biliary tract incompletely through the torek. Mirizzi syndrome is a disease with low prevalence, which must be taken into account in biliary surgery, because the treatment varies according to the intraoperative findings and the experience of. Pdf mirizzi syndrome is a rare complication of cholelithiasis, characterized by jaundice due to compression of the bile duct. Mirizzi syndrome is an anatomic disorder of the biliary ducts, at the neck of the cystic duct as a lateconsequence of cholelithiasis. The first description is due to pablo mirizzi 1948, when he observed some factors which could cause extra hepatic cholesthasis in certain groups of. Mirizzi s syndrome has no consistent or unique clinical features that distinguish it from other more common forms of obstructive jaundice. Mirizzi syndrome is a compli cation of a long standing colelithiasis. Mirizzi syndrome, a rare cause of obstructive jaundice. It is consider an important but uncommon pathology of gallstones characterized by narrowing of the common hepatic duct due to mechanical compression or inflammation.
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