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Mirizzi Syndrome

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38 papers 0 to 25 followers
Jalaleddin Khoshnevis, Mahnaz Akbari
Mirizzi's syndrome is a rare complication of gallstone disease, that gallbladder lumen can lie alongside the common hepatic duct, resulting in inflammation and resultant bile duct stricture. Most cases are not identified preoperatively. Variations of the cystic duct and its point of union with the common hepatic duct are surgically important. Here, we present an unusual case of type I Mirizzi's syndrome with an uncommon anomalous cystic duct that long cystic duct joins common hepatic duct behind the duodenum...
2014: Gastroenterology and Hepatology From Bed to Bench
A Rohatgi, K K Singh
BACKGROUND: The authors present their experience with laparoscopic subtotal cholecystectomy for the management of Mirizzi's syndrome and their review of the literature. METHODS: Over a period of 24 months, five cases of Mirizzi's syndrome were encountered, representing 1.5% of all the laparoscopic cholecystectomies performed in the authors' unit. The sex ratio was 4 females to 1 male, and the mean age of the patients was 66 years. All underwent a subtotal cholecystectomy...
September 2006: Surgical Endoscopy
Marco Milone, Mario Musella, Paola Maietta, Dario Guadioso, Anna Pisapia, Guido Coretti, Giovanni De Palma, Francesco Milone
BACKGROUND: Although Mirizzi syndrome is widely reported in literature, little is known about acute acalcholous cholecystitis determinig the findings of a Mirizzi syndrome. CASE PRESENTATION: We report a case of MRCP-confirmed Mirizzi syndrome in acute acalculous cholecystitis resolved by surgery. CONCLUSION: Acute acalcholosus cholecystitis determinig a Mirizzi Syndrome should be included in the Mirizzi classification as a type 1. Thus it could be useful to divide the type 1 in two entity (compression by stone and compression by enlarged gallbladder)...
November 15, 2014: BMC Surgery
Muhammad Rizwan Khan, Sameer Ur Rehman
INTRODUCTION: Mirizzi's syndrome is a rarely observed disorder that presents with obstructive jaundice. The condition is caused by a stone impacted in the gall bladder neck or cystic duct that impinges on the common hepatic duct, with or without a cholecystocholedochal fistula. The condition is often confused with other serious conditions such as hilar cholangiocarcinoma, which present with similar clinical and imaging findings, and a pre-operative diagnosis may be a serious challenge...
2012: Journal of Medical Case Reports
K Rayapudi, P Gholami, M Olyaee
We describe a 66-year-old Caucasian man with type 1 Mirizzi syndrome diagnosed on endoscopic ultrasound. He presented with acute onset of jaundice, malaise, dark urine over 3-4 days, and was found to have obstructive jaundice on lab testing. CT scan of the abdomen showed intrahepatic biliary ductal dilation, a 1.5 cm common bile duct (CBD) above the pancreas, and possible stones in the CBD, but no masses. Endoscopic retrograde cholangiopancreatography (ERCP) by a community gastroenterologist failed to cannulate the CBD...
May 2013: Case Reports in Gastroenterology
Mohammed H A Al-Akeely, Mohammed K Alam, Hayan Abdulrahman Bismar, Kamran Khalid, Ibrahim Al-Teimi, Nasser Faleh Al-Dossary
OBJECTIVE: Mirizzi syndrome (MS) is an uncommon presentation of cholelithiasis. This study aims to find the incidence and analyze the outcome of management of this condition at Riyadh Medical Complex (RMC) with particular reference to diagnostic methods and outcome of surgical treatment. METHODS: Retrospective study on 17 consecutive patients of MS diagnosed and managed at RMC over ten year period. The records were reviewed for demography, clinical presentation, diagnostic methods, operative procedures, postoperative complication and follow up...
December 2005: World Journal of Surgery
Dario Pariani, Giorgio Zetti, Fausto Galli, Ferdinando Cortese
The Mirizzi syndrome is a rare disorder that usually presents with jaundice and cholangitis; its lack of recognition in the diagnostic path could have serious consequences for the patient undergoing cholecystectomy. Here we describe the clinical case of a jaundiced patient from the ultrasound suspect of Mirizzi syndrome to the surgical treatment.
2013: Case Reports in Surgery
Wilson T Lao, Wing P Chan
No abstract text is available yet for this article.
2013: Internal Medicine
Ali Shakouri, Shou-Jiang Tang
No abstract text is available yet for this article.
March 2008: Clinical Gastroenterology and Hepatology
Md Ibrarullah, Tapas Mishra, A P Das
Mirizzi syndrome is a complication of long standing cholelithiasis. In this, obstruction of the extrahepatic bile duct by stone/s in the Hartman's pouch or cystic duct (Mirrizi type I) may erode in to the bile duct forming cholecystobiliary fistula (Mirrizi type II). Altered biliary tract anatomy and the associated pathology make cholecystectomy, open or laparoscopic, a formidable undertaking. Awareness of this entity and its preoperative diagnosis is of paramount importance to avoid injury to the bile duct at surgery...
December 2008: Indian Journal of Surgery
C D Becker, H Hassler, F Terrier
Preoperative recognition of the Mirizzi syndrome permits avoidance of several serious pitfalls at surgery. The typical diagnostic signs of the Mirizzi syndrome are (1) dilatation of the common hepatic duct above the level of (2) a gallstone impacted in the cystic duct, with (3) normal duct width below the stone. Since jaundice is the leading clinical symptom, sonography and computed tomography (CT) are now the primary radiologic tests. The syndrome does not regularly have typical features, however, and therefore cannot be detected routinely on sonography or CT...
September 1984: AJR. American Journal of Roentgenology
Margarita V Revzin, Leslie Scoutt, Edward Smitaman, Gary M Israel
This article reviews a spectrum of gallbladder conditions that are either uncommon or represent unusual manifestations of common diseases. These conditions are divided into four major categories: (a) congenital anomalies and normal variants including duplication, ectopia, and lymphangioma; (b) inflammatory processes and stone-related diseases and complications including adenomyomatosis, emphysematous cholecystitis, xanthogranulomatous cholecystitis, gangrenous and hemorrhagic cholecystitis, perforation, gallstone ileus, and Bouveret and Mirizzi syndromes; (c) gallbladder neoplasms including adenocarcinoma with associated porcelain gallbladder, squamous cell carcinoma, lymphoma, melanoma, and neurofibroma...
February 2015: Abdominal Imaging
Marco Bassi, Rosangela Muratori, Anna Larocca, Vincenzo Cennamo
No abstract text is available yet for this article.
October 2014: Digestive and Liver Disease
R E England, D F Martin
BACKGROUND: The accepted management of Mirizzi's syndrome is surgical, but endoscopic and percutaneous management have been described. AIM: To review our experience of endoscopic intervention for Mirizzi's syndrome. PATIENTS AND METHODS: ERCP reports of patients presenting for endoscopic management of choledocholithiasis between March 1989 and June 1995 were reviewed. Those with cholangiographic evidence of Mirizzi's syndrome were selected for study...
February 1997: Gut
M Schäfer, R Schneiter, L Krähenbühl
BACKGROUND: Benign extrinsic obstruction of the hepatic duct, known as "Mirizzi syndrome" (MS), is an uncommon complication of longstanding cholelithiasis. Since laparoscopic cholecystectomy (LC) replaced the open approach, Mirizzi syndrome has regained the interest of biliary surgeons. METHODS: The Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTS) prospectively collected the data on 13,023 patients undergoing LC between 1995 and 1999. This database was investigated with special regard to patients with Mirizzi syndrome...
August 2003: Surgical Endoscopy
Yuri N Shiryajev, Anna V Glebova, Tatyana V Koryakina, Nikolay Y Kokhanenko
INTRODUCTION: Acute acalculous cholecystitis can be complicated by extrinsic compression of the common hepatic/common bile duct by the enlarged and inflamed gallbladder followed by jaundice. Its mechanism is very similar to that of Mirizzi syndrome, when the bile duct is compressed from outside due to a stone impacted in the gallbladder neck or cystic duct. This complication of acalculous cholecystitis is rare, with very little number of published cases. PRESENTATION OF A CASE: We present a patient with compression of the common hepatic duct by an inflamed and enlarged gallbladder in the absence of stones as confirmed by magnetic resonance cholangiopancreatography (MRCP)...
2012: International Journal of Surgery Case Reports
Sandeep Lakhtakia, Rajesh Gupta, Manu Tandan, G V Rao, D N Reddy
No abstract text is available yet for this article.
February 2006: Gastrointestinal Endoscopy
Rozina Mithani, Wayne H Schwesinger, Juliane Bingener, Kenneth R Sirinek, Glenn W W Gross
The Mirizzi syndrome (MS) is a rare cause of obstructive jaundice produced by the impaction of a gallstone either in the cystic duct or in the gallbladder, resulting in stenosis of the extrahepatic bile duct and, in severe cases, direct cholecystocholedochal fistula formation. Sixteen patients were treated for MS in our center over the 12-year period 1993--2005 for a prevalence of 0.35% of all cholecystectomies performed. One patient was diagnosed only at the time of cholecystectomy. The other 15 patients presented with laboratory and imaging findings consistent with choledocholithiasis and underwent preoperative endoscopic retrograde cholangiopancreatography, which established the diagnosis in all but one patient...
June 2008: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Michael Safioleas, Michael Stamatakos, Constantinos Revenas, Constantinos Chatziconstantinou, Constantinos Safioleas, Alkiviades Kostakis
Mirizzi syndrome (MS) is an uncommon complication of gallstone disease and occurs in approximately 1% of all patients suffering from cholelithiasis. The syndrome is characterized by extrinsic compression of the common hepatic duct frequently resulting in clinical presentation of intermittent or constant jaundice. Most cases are not identified preoperatively. Surgery is the indicated treatment for patients with MS. We report here a 71-year-old male patient referred to the surgical outpatient department for diffuse upper abdominal pain and mild jaundice (bilirubin rate: 4...
September 14, 2006: World Journal of Gastroenterology: WJG
D Gomez, S H Rahman, G J Toogood, K R Prasad, J P A Lodge, P J Guillou, K V Menon
BACKGROUND: This paper reports a series of patients with Mirizzi's syndrome (MS) who were managed at our institution over an 11-year (1994-2005) period. METHODS: Retrospective case note study of patients with a definitive or possible diagnosis of MS stated in radiology reports were identified using the hospital's radiology computer coding system. RESULTS: 33 patients were identified with a median age of diagnosis of 70 (35-90) years and male to female ratio of 15:18...
2006: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
2015-03-18 19:38:17
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