Mirizzi syndrome: a new approach to an old problem

Lee, Kit‐Fai

doi:10.21037/hbsn.2017.12.09

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…7 Csendes et al further subclassified MS into four types according to the diameter of the choledochal obstruction; these subtypes are widely used for education. 8 If any type is combined with a cholecystoenteric fistula, it can be classified as a Csendes type V. 3,9 The case reported here can be considered a special type of MS not included in the above-mentioned classifications. In this patient, the common hepatic duct and left and right hepatic ducts formed an enlarged cystic cavity with a stiffened, fibrotic wall.…”

Section: Discussionmentioning

confidence: 96%

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report

et al. 2018

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BackgroundMirizzi syndrome is a rare complication of chronic cholecystitis, usually caused by gallstones impacted in the cystic duct or the neck of the gallbladder. Mirizzi syndrome results in compression of the hepatic duct or fistula formation between the gallbladder and common bile duct (or hepatic duct, right hepatic duct, or even mutative right posterior hepatic duct). Clinical features include abdominal pain, fever, and obstructive jaundice. Severe inflammation and adhesion at Calot’s triangle are potentially very dangerous for patients with Mirizzi syndrome undergoing cholecystectomy.Case presentation: We report the case of a 68-year-old Asian woman who presented with abdominal pain and jaundice. She had a medical history of gallstones, but no fever. Magnetic resonance cholangiopancreatography revealed cholecystitis, cholelithiasis, common hepatic duct stones, and ascites. Findings at surgery included a porcelainized, atrophic gallbladder that was full of gallstones, fistula formation between the gallbladder and common hepatic duct, and left hepatic atrophy. The prominent feature was the left hepatic atrophy, but stones were not visible pre-operatively in the left liver by radiologic examination.ConclusionsThis patient exhibited what can be considered a special type II of Mirizzi syndrome with a fistula of the common hepatic duct as well as left hepatic atrophy.

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Section: Discussionmentioning

confidence: 96%

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report

et al. 2018

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“…Preoperative diagnosis can avoid bile duct injury. The preoperative scoring system assists with an assessment based on clinical, laboratory, and radiological imaging parameters to predict the diagnosis of MS. 33 Each parameter found is given 1 point and rated on a scale of 0-10. A score of 3 or more has a sensitivity of 90.6% and a specificity of 78.1% for predicting the presence of MS. A score of 6…”

Section: Preoperative Assessmentmentioning

confidence: 99%

“…Patients diagnosed with MS by prior US examination have good treatment outcomes, the least morbidity, and the shortest hospital stay. The average length of stay in the hospital was 8 days (range 3-13 days) 33.…”

mentioning

confidence: 99%

Diagnosis and Management of Mirizzi Syndrome Related to Gallstones: A Narrative Literature Review

2022

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Mirizzi syndrome (MS) is a rare condition caused by compression of the common hepatic duct due to gallstones located in the cystic duct or neck of the gallbladder. Biliary pain, jaundice, and fever are the most common clinical manifestations of MS. Patients usually report a history of biliary pain with jaundice. There are no pathognomonic features in the history and physical examination. Patients may also come with acute cholecystitis, acute cholangitis, or pancreatitis. In cases where MS is suspected, the diagnosis can be made by ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP). Surgery is the main treatment for cases of MS and is a challenge because preoperative diagnosis is difficult, thus impacting management during surgery. This literature review aimed to describe the features of MS related to gallstones and management options.

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Minimally invasive management of Mirizzi syndrome Va: Case series and narrative review of the literature

Gómez

Pedraza

Cabrera

et al. 2022

Cirugía Española (English Edition)

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Mirizzi syndrome: a new approach to an old problem

Cited by 8 publications

References 7 publications

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report

Mirizzi syndrome complicated by common hepatic duct fistula and left hepatic atrophy: a case report

Diagnosis and Management of Mirizzi Syndrome Related to Gallstones: A Narrative Literature Review

Minimally invasive management of Mirizzi syndrome Va: Case series and narrative review of the literature

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