Mirizzi syndrome with a fistula at the confluence of the hepatic ducts.
| Τίτλος | Mirizzi syndrome with a fistula at the confluence of the hepatic ducts. |
| Publication Type | Journal Article |
| Year of Publication | 2009 |
| Authors | Tsalis, K. G., Zacharakis E., Kirou I. E., Sapidis N., Vagios I., Kalfadis S., & Betsis D. |
| Journal | Med Sci Monit |
| Volume | 15 |
| Issue | 3 |
| Pagination | CS54-7 |
| Date Published | 2009 Mar |
| ISSN | 1643-3750 |
| Λέξεις κλειδιά | Abnormalities, Multiple, Aged, Anastomosis, Roux-en-Y, Cholangiopancreatography, Magnetic Resonance, Cholelithiasis, Female, Fistula, Gallstones, Hepatic Duct, Common, Humans, Syndrome, Tomography, X-Ray Computed |
| Abstract | BACKGROUND: A rare case of Mirizzi syndrome with atypical presentation is reported.CASE REPORT: An 81-year-old woman with a known history of cholelithiasis presented with epigastric discomfort and indigestion. Imaging investigations revealed Mirizzi syndrome, while a cholecystobiliary fistula at the junction of the hepatic ducts was recognized intraoperatively and treated successfully with cholecystectomy and Roux-en-Y hepaticojejunostomy. During two years' follow-up the patient remains free of biliary symptoms.CONCLUSIONS: Diagnosis of Mirizzi syndrome requires a high degree of clinical suspicion, especially in cases without obstructive jaundice. A fistula at the level of the confluence of the hepatic ducts is a rare topographic variant of the syndrome that may need a totally different surgical approach. |
| Alternate Journal | Med. Sci. Monit. |
| PubMed ID | 19247250 |
