Manejo mínimamente invasivo del síndrome de Mirizzi Va: Reporte de casos y revisión narrativa de la literatura

Gómez, Daniel; Pedraza, Mauricio; Cabrera, Luis Felipe; Mendoza‐Zuchini, Andrés; G, Manuel Arrieta; Aparicio, Steven; Pulido, Jean

doi:10.1016/j.ciresp.2021.04.021

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…• Tipo V: tipo de fítula colescisto entérica con íleo biliar o sin el mismo. (5,6) Figura 1. Fisiopatología del Síndrome de Mirizzi (7,8) El síndrome de Mirizzi fue descubierto en 1947 por el cirujano Pablo Luis Mirizzi, al identificar diversos cuadros de ictericia obstructiva en pacientes.…”

Section: Introductionunclassified

Síndrome de Mirizzi. Caso clínico

Cabrera¹,

Benítez²,

Pintado³

et al. 2022

Salud Cienc. Tecnol.

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Introducción: El síndrome de Mirizzi es una inflamación aguda o crónica causada por cálculos impactados en la bolsa de Hartmann o en el conducto cístico, es importante reconocer los 5 tipos de síndrome de Mirizzi. Objetivo: Analizar un caso clínico relacionado con el Síndrome de Mirrizi, describiendo la etiología y planteando su respectivo diagnóstico y tratamiento. Caso Clínico: En la actualidad aún existe el debate sobre el tratamiento del Síndrome de Mirizzi donde la intervención quirúrgica convencional no es la primera elección, pero por la complejidad de la enfermedad se la debe realizar. Conclusiones: El síndrome de Mirizzi es una complicación poco frecuente en pacientes con colelitiasis y su tratamiento debe basarse dependiendo a la tipología a la cuál pertenece, es decir, se debe elegir una colecistectomía laparoscópica o convencional, teniendo en cuenta el riego y beneficio del paciente.

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Section: Introductionunclassified

Síndrome de Mirizzi. Caso clínico

Cabrera¹,

Benítez²,

Pintado³

et al. 2022

Salud Cienc. Tecnol.

View full text Add to dashboard Cite

show abstract

Mirizzi Syndrome—The Past, Present, and Future

Koo,

Tham,

Toh

et al. 2023

Medicina

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Mirizzi syndrome is a complication of gallstone disease caused by an impacted gallstone in the infundibulum of the gallbladder or within the cystic duct, causing chronic inflammation and extrinsic compression of the common hepatic duct or common bile duct. Eventually, mucosal ulceration occurs and progresses to cholecystobiliary fistulation. Numerous systems exist to classify Mirizzi syndrome, with the Csendes classification widely adopted. It describes five types of Mirizzi syndrome according to the presence of a cholecystobiliary fistula and its corresponding severity, and whether a cholecystoenteric fistula is present. The clinical presentation of Mirizzi syndrome is non-specific, and patients typically have a longstanding history of gallstones. It commonly presents with obstructive jaundice, and can mimic gallbladder, biliary, or pancreatic malignancy. Achieving a preoperative diagnosis guides surgical planning and improves treatment outcomes. However, a significant proportion of cases of Mirizzi syndrome are diagnosed intraoperatively, and the presence of dense adhesions and distorted anatomy at Calot’s triangle increases the risk of bile duct injury. Cholecystectomy remains the mainstay of treatment for Mirizzi syndrome, and laparoscopic cholecystectomy is increasingly becoming a viable option, especially for less severe stages of cholecystobiliary fistula. Subtotal cholecystectomy is feasible if total cholecystectomy cannot be performed safely. Additional procedures may be required, such as common bile duct exploration, choledochoplasty, and bilioenteric anastomosis. Conclusions: There is currently no consensus for the management of Mirizzi syndrome, as the management options depend on the extent of surgical pathology and availability of surgical expertise. Multidisciplinary collaboration is important to achieve diagnostic accuracy and guide treatment planning to ensure good clinical outcomes.

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Manejo mínimamente invasivo del síndrome de Mirizzi Va: Reporte de casos y revisión narrativa de la literatura

Cited by 2 publications

References 16 publications

Síndrome de Mirizzi. Caso clínico

Síndrome de Mirizzi. Caso clínico

Mirizzi Syndrome—The Past, Present, and Future

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