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[Mirizzi syndrome].

G Vadalà1, G Basile, G Rimmaudo

  • 1Cattedra di Chirurgia d'Urgenza e Pronto Soccorso, Università degli Studi, Catania.

Minerva Medica
|April 26, 2000
PubMed
Summary
This summary is machine-generated.

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Mirizzi's syndrome, a rare cause of obstructive jaundice, occurs when a gallstone impacts the cystic duct, compressing the common hepatic duct. Surgical intervention provides a definitive resolution for this condition.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Mirizzi's syndrome is a rare complication of cholecystic lithiasis, affecting less than 1% of patients undergoing cholecystectomy.
  • It involves a gallstone in the cystic duct or gallbladder neck causing extrinsic compression of the common hepatic duct, leading to obstructive jaundice.

Observation:

  • A patient presented with obstructive jaundice and hyperpyrexia.
  • Abdominal echography revealed significant biliary duct dilatation.
  • Endoscopic retrograde cholangiography (ERCP) showed an obstruction of the hepatic common duct, with the cause being indeterminate (stone or neoplasm).

Findings:

  • Surgical exploration identified a large stone impacted in the cystic duct, compressing the common hepatic duct.
  • Approximately 40 small stones and one large stone (3x1 cm) were extracted from the gallbladder.

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  • A partial cholecystectomy was performed, and no cholecystobiliary fistula was detected.

    • Implications:

    • Mirizzi's syndrome, though uncommon, requires prompt diagnosis and surgical management for complete symptom resolution.
    • Surgical intervention, including stone extraction and partial cholecystectomy, effectively treats Mirizzi's syndrome and prevents complications like recurrent cholangitis.