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[Mirizzi syndrome. Case report]
A Paoloni1, A Bucchianeri, G Mazzocconi
1Azienda USL number 7, Ancona, Presidio Ospedaliero "SS Benvenuto e Rocco", Osimo, U.O. Chirurgia Generale.
Il Giornale Di Chirurgia
|March 28, 2008
Summary
Mirizzi syndrome, a rare complication of gallstones causing obstructive jaundice, presents diagnostic challenges. Open surgery is recommended over laparoscopy for safer, definitive treatment of this uncommon condition.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Mirizzi syndrome involves obstructive jaundice due to gallstones in the cystic duct or gallbladder neck.
- It presents diagnostic challenges, often requiring intraoperative confirmation.
- Classified into Type I (without fistula) and Type II (with fistula).
Observation:
- A 76-year-old male with cholelithiasis, diabetes, and hepatitis C presented with jaundice and abdominal pain.
- Preoperative evaluations did not yield a definitive diagnosis.
- Intraoperative findings confirmed Mirizzi syndrome, necessitating an open surgical approach.
Findings:
- An open approach allowed safe management of the inflammatory process.
- An incomplete cholecystectomy was performed.
- The patient recovered well, discharged on postoperative day seven after cholangiography.
Implications:
- Mirizzi syndrome should be considered in cholelithiasis complications.
- Extreme caution is advised in managing this condition.
- Laparoscopic approaches are discouraged due to risks and potential for incomplete treatment.
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