Related Experiment Video
Updated: Dec 7, 2025
04:50
Complete Laparoscopic Radical Resection of Perihilar Cholangiocarcinoma Type IIIb
Published on: January 17, 2025
566
Type III Mirizzi, successfully treated with a free gallbladder flap, a case report
Miguel A Moyón C1, Gabriel A Molina2, Fernando X Moyón C1
1Department of General Surgery, Hospital General San Francisco, IESS, Quito-Ecuador.
International Journal of Surgery Case Reports
|October 3, 2020
Summary
Mirizzi syndrome, a rare biliary obstruction, requires high clinical awareness for accurate preoperative diagnosis to prevent complications like bile duct injury. Successful treatment was achieved using a gallbladder free flap in a type III case.
Area of Science:
- Hepatobiliary Surgery
- Gastroenterology
- Surgical Anatomy
Background:
- Mirizzi syndrome involves biliary obstruction from impacted stones in the cystic duct or gallbladder neck.
- This condition can lead to common bile duct compression, duct erosion, fistula formation, and cholangitis if untreated.
- Accurate preoperative diagnosis is challenging and crucial to mitigate the risk of intraoperative bile duct injury.
Observation:
- A 61-year-old female presented with obstructive jaundice.
- Type III Mirizzi syndrome was diagnosed preoperatively.
- The patient underwent successful treatment utilizing a gallbladder free flap.
Findings:
- The case highlights a successful management of type III Mirizzi syndrome.
- Preoperative diagnosis and a gallbladder free flap approach were key to the successful outcome.
- The patient experienced a favorable recovery post-treatment.
Implications:
- Mirizzi syndrome presents rare but significant anatomical challenges and surgical complexities.
- Elevated clinical suspicion and precise preoperative imaging are vital for patient management.
- Adoption of safe surgical techniques that minimize bile duct injury are essential for improving patient outcomes.
