Mirizzi syndrome: noteworthy aspects of a retrospective study in one centre

Tan, Kok‐Yang; Chng, H. C.; Chen, Cosmas Yun‐Yin; Tan, Shici; Poh, B.K.; Hoe, Michael N. Y.

doi:10.1111/j.1445-1433.2004.03184.x

Cited by 43 publications

(50 citation statements)

References 14 publications

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“…The characteristic feature of Mirizzi syndrome in USG is stone impaction in gallbladder neck with dilatation of proximal biliary system. Although USG is the initial imaging modality, it has limited sensitivity of 8% to 48% in the diagnosis of Mirizzi syndrome [2,9]. Computed topography (CT) scan can identify dilated intrahepatic and extrahepatic ducts with stones in biliary tree but has poor sensitivity of about 40% to 50% [2,10].…”

Section: Discussionmentioning

confidence: 99%

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Unraveling Mirizzi Syndrome–Uncommon Cause of Biliary Obstruction: A Case Report

Balasubramanian¹,

Nellaiappan²

2013

J Clin Case Rep

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Mirizzi syndrome is an unusual complication of chronic cholelithiasis due to impacted gallstone in the cystic duct or neck of the gallbladder causing Common Bile Duct (CBD) obstruction. Here, we report a case of middle aged female presenting with acute abdominal pain and jaundice. Endoscopic Retrograde Cholangio Pancreatography (ERCP) revealed a large gallstone in the cystic duct compressing the common bile duct suggestive of Mirizzi syndrome which was managed surgically.

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Section: Discussionmentioning

confidence: 99%

“…Although ERCP has a variable sensitivity of 50% to 100% in the diagnosis of Mirizzi syndrome, it is the most accurate imaging technique to identify the cholecysto-choledochal fistula and offers therapeutic drainage of biliary tract [2,3,9]. Increasingly, MRCP has been used for the diagnosis of Mirizzi syndrome.…”

Section: Discussionmentioning

confidence: 99%

Unraveling Mirizzi Syndrome–Uncommon Cause of Biliary Obstruction: A Case Report

Balasubramanian¹,

Nellaiappan²

2013

J Clin Case Rep

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“…A colangioressonância e a TC podem ajudar a diferenciar a síndrome de Mirizzi de malignidades do sistema biliar extrahepático 19 . A colangiografia endoscópica retrógrada mostrará as anormalidades dos ductos biliares e a fístula, entretanto, pode apresentar algumas complicações 22 . Nestes pacientes, o diagnóstico foi intra-operatório em 100% dos casos.…”

Section: Discussionunclassified

Manejo cirúrgico da síndrome de Mirizzi

Fonseca-Neto¹,

Pedrosa²,

Miranda³

2008

ABCD, arq. bras. cir. dig.

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A associação entre fístula coledocociana e coledocolitíase foi observada em três pacientes (60%). Quanto à classificação, encontrou-se dois pacientes com tipo I e um paciente em cada um dos tipos II, III, IV. A colecistectomia foi realizada em todos os pacientes, sendo parcial em três (60%). A anastomose coledocoduodenal foi realizada em dois pacientes, sendo do tipo látero-lateral. A coledojejunoanastomose ocorreu em um único caso (tipo IV). Evolução pós-operatória sem alterações ocorreu em dois casos (40%) recebendo alta em boas condições. Um paciente apresentou sepse no pós-operatório secundário a abscesso subhepático evoluindo ao óbito no 2° dia de pós-relaparotomia. Conclusão -Apesar do diagnóstico pré-operatório ser raro nos pacientes com síndrome de Mirizzi, ela deve ser suspeitada na colelitíase crônica e prontamente identificada no intra-operatório para evitar lesões biliares inadvertidas. Apesar da era da colecistectomia laparoscópica, o método aberto deve ser o de escolha. DESCRITORES -Injúria do ducto biliar. Bypass biliar. Mirizzi. Colecistectomia. Cirurgia biliar. ABCD Arq Bras Cir DigArtigo Original 2008;21(2):51-4 MAnEJO CIRÚRGICO DA SÍnDROME DE MIRIZZI Surgical management of Mirizzi syndromeOlival Cirilo Lucena da fONSECA-NETO, Maria das Graças Lapenda PEDROSA, Antonio Lopes MIRAnDA InTRODUçãO A síndrome de Mirizzi é a obstrução do ducto hepático comum secundária a compressão extrínseca devido a impactação de cálculos no ducto cístico ou no infundíbulo da vesícula1. É complicação não-usual da doença litíasica da vesícula biliar e ocorre em aproximadamente 1% de todos os pacientes com colelitíase 20 .A importância dela deriva do alto risco de lesões do ducto biliar durante os procedimentos cirúrgicos. Soma-se a esse fato a dificuldade do diagnóstico antes da operação. Em pacientes ictéricos ou não, operações de emergência e escassos recursos radiológicos proporcionam condição propícia para lesões iatrogênicas da via biliar.O objetivo deste estudo é descrever uma série de cinco pacientes com síndrome de Mirizzi, submetidos a tratamento cirúrgico, e comentar os aspectos etiopatogêni-cos e apresentação clínica, enfatizando o diagnóstico e o tratamento dessa complicação da litíase biliar.

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“…However, cases not associated with CBD obstruction symptoms may be diagnosed as GB stone requiring only laparoscopic cholecystectomy. In a series reported by Tan et al [5] , bile duct injuries were observed in 4 (16.7%) of 24 operatively treated patients, and all the 4 injuries occurred in patients without a preoperative diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Many cases have so far been reported, and various operations have been suggested depending on the types of MS. Laparoscopic cholecystectomy has become the standard operation for gallstones, and many authors have adopted this operation for typeⅠMS. However, high rates of conversion and bile duct injury indicate that this is not a safe treatment modality for MS, especially when combined with a cystic duct anomaly [2][3][4][5] . In this report, we present a case of type ⅠMirizzi syndrome, complicated by a rare anomalous cystic duct, which was operated with an open procedure.…”

Section: Introductionmentioning

confidence: 99%

Mirizzi syndrome in an anomalous cystic duct: A case report

Jung

Min²,

Song³

et al. 2007

WJG

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Mirizzi syndrome is a rare complication of gallstone disease, and results in partial obstruction of the common bile duct or a cholecystobiliary fistula. Moreover, congenital anatomical variants of the cystic duct are common, occurring in 18%-23% of cases, but Mirizzi syndrome underlying an anomalous cystic duct is an important clinical consideration. Here, we present an unusual case of typeⅠMirizzi syndrome with an uncommon anomalous cystic duct, namely, a low lateral insertion of the cystic duct with a common sheath of cystic duct and common bile duct.

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Mirizzi syndrome: noteworthy aspects of a retrospective study in one centre

Abstract: The preoperative diagnosis of Mirizzi syndrome is a challenge. Only constant vigilance during intraoperative dissection of the Calot's triangle will reduce the incidence of bile duct injury in Mirizzi syndrome that can occur in both open and laparoscopic surgery.

Cited by 43 publications

References 14 publications

Unraveling Mirizzi Syndrome–Uncommon Cause of Biliary Obstruction: A Case Report

Unraveling Mirizzi Syndrome–Uncommon Cause of Biliary Obstruction: A Case Report

Manejo cirúrgico da síndrome de Mirizzi

Mirizzi syndrome in an anomalous cystic duct: A case report

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