14 Sep Chronic complications of symptomatic gallstone disease, such as Mirizzi syndrome, are rare in Western developed countries with an incidence. The Mirizzi syndrome refers to an uncommon phenomenon which results in extrinsic compression of an extrahepatic biliary duct from one or more calculi within. 17 Oct Mirizzi syndrome is an unusual presentation of obstructive jaundice caused by extrinsic compression of an extrahepatic biliary duct from one or.

Author: Mooguzilkree Ararr
Country: Kazakhstan
Language: English (Spanish)
Genre: Travel
Published (Last): 28 March 2008
Pages: 226
PDF File Size: 16.52 Mb
ePub File Size: 7.46 Mb
ISBN: 545-4-96241-359-8
Downloads: 4377
Price: Free* [*Free Regsitration Required]
Uploader: Shaktijinn

A review of literature. The surgical incision used was right subcostal in seven It is the complication of long standing cholecistolithiasis 56. Typical magnetic resonance cholangiopancreatography MRCP findings of Mirizzi syndrome jirizzi the following [ 13141516 ]:.

The use of the gallbladder infundibulum to close the orifice of the common hepatic duct is good because it consists of vascular tissue and it has mucosal similar to biliary duct.

Síndrome de Mirizzi | Revista Clínica Española (English Edition)

Kendrick and Kaye M. In the cholecystobiliary fistula, the calculus may migrate to the main biliary tract, while in the coloentericystic fistula the patient may show intestinal obstruction called biliary ileus 9. It presents a spectrum that varies from extrinsic compression of the common hepatic duct to the presence of cholecystobiliary fistula. However, prolonged cholestasis can lead to secondary biliary cirrhosis. It’s more frequent on women between 21 to 90 years old, probably a reflection of the gallstones preponderance in this group.

In such situation, one of the alternatives is to use technique on which partial cholecystectomy is performed through anterograde via with preservation of the infundibulum, followed by opening of the gallbladder, removal of the calculus of its interior, and choledocoplasty with suture of the fistulous orifice on the remaining wall of the gallbladder.


Citations Publications citing this paper. Symptoms of recurrent cholangitis, jaundice, right upper quadrant pain, and elevated bilirubin and alkaline phosphatase may or may not be present.

Diagnosis and treatment of Mirizzi syndrome: 23-year Mayo Clinic experience.

Cavalcanti JS, et al. The most frequent symptoms were abdominal pain Dilatation of the biliary system, including the CHD, distal to the level of the gallbladder neck. Concerning the Mirizzi syndrome Csendes types II and III, the dissection in the level of the jirizzi duct and the exposure of Calot’s triangle can lead to the opening of a fistulous orifice in the common biliary duct, with insufficient tissue for a satisfactory sinvrome 9.

Videolaparoscopy complications in the management of biliary diseases. Such inflammation is characteristic of Mirizzi syndrome and can be used to distinguish biliary conditions, including cancer.

Mirizzi syndrome Indian J Surg ; To improve our services and products, we use “cookies” own or third parties authorized to show advertising related siindrome client preferences through the analyses of navigation customer behavior. Si continua navegando, consideramos que acepta su uso. According Mirizzi classification, there is a well defined protocol of surgical treatment for different types: The Kehr drain is introduced into the common hepatic duct over the repair site.

ANZ J Surg ; How to cite this article. Rev Col Bras Cir ;29 2. Mirizzj authors do not consider laparoscopy as first option due to the intense inflammatory process caused by the disease, being even considered a contraindication to the treatment minimally invasive, but it can be safely performed by experienced surgeons in some cases 1356.


Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption.

Intraoperatively, there were adhesions of the transverse colon, duodenum and stomach in the gallbladder, which was found to be scleroatrophic and full of calculus. Continuing navigation will be considered as acceptance of this use.

Outline representation of the new classification of Csendes to Mirizzi syndrome1. Other authors 11, 12, 22 have reported that a laparoscopic approach, especially for Csendes type I lesions, is feasible, albeit technically demanding. In the seven The drain debit oscillated between 20 and ml, showing bilious secretion until the 10 th day, when it was removed due to the volume reduction. Videolaparoscopy complications in the management of biliary diseases. Mirizzi syndrome must be ruled out in the differential diagnosis of any patients with obstructive jaundice.

Mirizzi performed the first operative cholangiogram in Articles from Arquivos Brasileiros de Cirurgia Digestiva: Systematic Cholangiography during laparoscopic cholecystectomy. Rare case of Mirizzi syndrome associated with cholecystogastric fistula.

Double-cannulation and large papillary balloon dilation: The closing of the orifice must be made with no tension and with the stump mucosal of the gallbladder juxtaposed to the duct mucosal. Biliary and pancreatic ducts can also be assessed by MRCP, which can create superior images of inflammation around the gallbladder.

Note the nonvisualization of gallbladder and small bowel activity. Mirizzi Syndrome Type IV: