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Mirizzi syndrome.

T C Bower1, D M Nagorney

  • 1Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
|September 1, 1988
PubMed
Summary
This summary is machine-generated.

Mirizzi syndrome, a rare cause of jaundice due to gallstones compressing the common hepatic duct, presents diagnostic and surgical challenges. Early diagnosis and surgical intervention, including cholecystectomy, are crucial for successful management.

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Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Mirizzi syndrome involves gallstone impaction causing extrinsic compression of the common hepatic duct.
  • It is a rare but challenging cause of obstructive jaundice.

Purpose of the Study:

  • To detail the management of patients diagnosed with Mirizzi syndrome.
  • To highlight diagnostic and surgical considerations for this condition.

Main Methods:

  • Retrospective review of five patients with Mirizzi syndrome.
  • Analysis of diagnostic methods including ultrasonography and percutaneous transhepatic cholangiography.
  • Evaluation of surgical management including cholecystectomy and common duct exploration.

Main Results:

  • Five cases of Mirizzi syndrome were identified among over 9000 gallstone disease operations.

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  • Diagnosis required high clinical suspicion confirmed by imaging.
  • Surgical management involved cholecystectomy and common duct exploration, with some requiring additional repairs.

    • Conclusions:

    • Mirizzi syndrome necessitates a high index of clinical suspicion for timely diagnosis.
    • Ultrasonography and PTC are key diagnostic tools.
    • Surgical treatment requires careful planning, often involving cholecystectomy, common duct exploration, and potential repair of bile duct defects.