Mirizzi syndrome in an anomalous cystic duct: A case report

Jung, Cheol Woong; Min, Byung Wook; Song, Tae Jin; Son, Gil Soo; Lee, Hong Sik; Kim, Seungjoo; Um, Jun Won

doi:10.3748/wjg.v13.i41.5527

Cited by 11 publications

(13 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the partial duct obstruction secondary to an impacted calculation and the associated inflammatory process, was first described in 1905 by Kehr and 1908 by Ruge (1,2,7,10,16).…”

Section: Introductionmentioning

confidence: 99%

“…In 1982, McSherry et al classified the Mirizzi syndrome in two types, based on the findings of the endoscopic retrograde cholangiography: type I involved a partial or complete external obstruction of the common hepatic duct by a stone impacted in the cystic duct or the Hartmann pouch, resulting in inflammation of the Calot triangle. Type II referrers to the formation of a communication between the cystic duct and the common hepatic duct, it is accompanied by a cholecystocholedochal fistula caused by an eroded stone in the common duct (6,9,13,15,16). Later in 1989, Csendes et al classified the Mirizzi syndrome in four types which categorized cholecystocholedochal fistulas based on the degree of destruction.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Updates in Mirizzi syndrome

Valderrama-Treviño¹,

Granados-Romero²,

Espejel-Deloiza³

et al. 2017

Hepatobiliary Surg. Nutr.

View full text Add to dashboard Cite

Mirizzi syndrome, known as extrinsic bile compression syndrome, is a rare complication of cholecystitis and chronic cholelithiasis, secondary to the obliteration of the infundibulum of the gallbladder or cystic duct caused by the impact of one or more calculations in these anatomical structures, which leads to compression of the adjacent bile duct, resulting in partial or complete obstruction of the common hepatic duct, triggering liver dysfunction. Our aim is to identify and describe the current epidemiology, diagnostic methods, and treatment of Mirizzi syndrome. A literature search was performed using different databases, including Medline, Cochrane, Embase, Medscape, PubMed, using keywords: Mirizzi syndrome, epidemiology, markers, pathophysiology, clinical presentation, diagnosis, and treatment. Selected original articles, review articles or case reports from 1997 to 2015 were collected, written in English or Spanish. The endoscopic retrograde cholangiopancreatography (ERCP) is the most accurate diagnostic method. The traditional treatment has been surgery and involves an incision at the bottom of the gallbladder and calculus removal. If fistulas are observed, it is performed a partial cholecystectomy; otherwise, a cholecystocholedochoduodenostomy is an alternative. Endoscopic treatment includes biliary drainage and stone extraction. Many surgeons claim that laparoscopic cholecystectomy is contraindicated in Mirizzi syndrome because of the presence of inflammatory tissue and adhesions in the Calot's triangle. If dissection is attempt, it can cause unnecessary injury to the bile duct. However, other surgeons consider the laparoscopic approach is feasible, although technically challenging. Currently, laparoscopic cholecystectomy for this condition is considered controversial and technically challenging; however, it has shown that with the right skills and equipment, it is a safe and feasible way to treat some cases of Mirizzi syndrome type I and II.

show abstract

“…However, the partial duct obstruction secondary to an impacted calculation and the associated inflammatory process, was first described in 1905 by Kehr and 1908 by Ruge (1,2,7,10,16).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Updates in Mirizzi syndrome

Valderrama-Treviño¹,

Granados-Romero²,

Espejel-Deloiza³

et al. 2017

Hepatobiliary Surg. Nutr.

View full text Add to dashboard Cite

show abstract

“…Our first patient had a long cystic duct running along the common hepatic duct. A fibrous "common channel" between the two ducts likely increased the probability of Mirizzi syndrome [5].…”

Section: Discussionmentioning

confidence: 99%

Mirizzi Syndrome: Four Case Reports and a Review of the Literature

Bakaar¹,

Yoo²,

Cronin³

2018

J Surg Anesth

View full text Add to dashboard Cite

show abstract

“…13 On the other hand some stated that aberrant anatomy has been shown to be associated with the development of CDS and not the length of cystic duct. 14 Common bile duct stones which may be a cause of morbidity among patients with calcular gallbladder were found in our study in association with cystic duct stones in 35.7%. This explains the importance that should be given to presence of cystic duct stones.…”

mentioning

confidence: 83%

Value of routine milking of cystic duct during laparoscopic cholecystectomy

et al. 2017

View full text Add to dashboard Cite

Background: Cystic duct stones (CDS) although they are occasionally encountered during laparoscopic cholecystectomy (LC) and are not detected easily by preoperative investigations however it is worthy to detect them intra-operatively as they will decrease the incidence of postcholecystectomy pain and they will alarm us to the more serious common bile duct (CBD) stones. So, we aimed at this study to evaluate the role of cystic duct milking in detection of cystic duct stones and its significance.Methods: This study was performed on 150 cases with calcular cholecystitis at Menofia University hospital in the period from August 2015 to May 2017. All patients had undergone LC, cystic duct milking. On table cholangiogram was done for cases that showed CDS.Results: CDS were detected in 28 cases, preoperative investigations failed to detect any of them however retrospectively 19 cases (67.8%) of them revealed to have mild transient liver functions derangement associated with acute right hypochondrial pain. Wide cystic duct (more than 4 mm) was recorded in 3 cases (10.7%) out of 28 cases that showed CDS. The incidence of association of cystic duct stones and CBD stones was found in 10 cases (35.7%).Conclusions: CDS are occasionally encountered during LC. They can be removed easily by just milking of cystic duct before clipping. The benefit is to decrease the incidence of post-cholecystectomy pain as well as it alerts us towards the more serious CBD stones. So on-table cholangiogram at that time becomes mandatory to avoid missed stone.

show abstract

Mirizzi syndrome in an anomalous cystic duct: A case report

Cited by 11 publications

References 10 publications

Updates in Mirizzi syndrome

Updates in Mirizzi syndrome

Mirizzi Syndrome: Four Case Reports and a Review of the Literature

Value of routine milking of cystic duct during laparoscopic cholecystectomy

Contact Info

Product

Resources

About