Mirizzi syndrome with cholecystoduodenal fistula – a rare complication of cholecyctolithiasis
Authors:
T. Paseka; L. Veverková; P. Diviš; J. Cagaš; J. Čierník
Authors‘ workplace:
Masarykova Univerzita Brno, Lékařská fakulta, I. chirurgická klinika FN U sv. Anny v Brně
Published in:
Čas. Lék. čes. 2009; 148: 164-167
Category:
Case Report
Overview
Mirizzi syndrome is a rare complication of the long–term gallbladder stone disease. It’s caused by a gallbladder stone impression to the common bile duct wall. The clinical appearance is an obstructive jaundice, pain in right subchondrium and dyspepsia. Higher pressure in the extrahepatal bile ducts leads to biliobiliary or enterobiliary fistula formation. In the described case a cholecystoduodenal fistula was found. Preoperative diagnosis of MS is a medical challenge, and majority of the diagnosis is set introperatively. Surgery is the treatment of first choice. Ignoring the possibility of MS can seriously damage patient’s health by injuring bile ducts during the surgery.
Key words:
Mirizzi syndrome, enterobiliary fistula, obstructive jaundice, gallbladder stones.
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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