Advertisement

Surgical Endoscopy

, Volume 13, Issue 6, pp 618–620 | Cite as

Combined endoscopic and surgical management of Mirizzi syndrome

  • D.  Hazzan
  • D.  Golijanin
  • P.  Reissman
  • S. N.  Adler
  • E.  Shiloni
Article

Abstract.

Mirizzi syndrome is a form of obstructive jaundice caused by a stone impacted in the gallbladder neck or the cystic duct that impinges on the common hepatic duct with or without a cholecystocholedochal fistula. This syndrome is a rare complication of cholelithiasis that accounts for 0.1% of all patients with gallstone disease. Preoperative recognition is necessary to prevent injury to the common duct during surgery. We present a patient with a preoperative diagnosis of type I Mirizzi syndrome that was confirmed and drained by endoscopic retrograde cholangiography (ERC), followed by subtotal cholecystectomy. A review of the literature covering its clinical presentation, diagnosis, and surgical treatment is also presented.

Key words: Mirizzi syndrome — Obstructive jaundice — Cholelithiasis — Gallbladder 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag New York Inc. 1999

Authors and Affiliations

  • D.  Hazzan
    • 1
  • D.  Golijanin
    • 1
  • P.  Reissman
    • 2
  • S. N.  Adler
    • 3
  • E.  Shiloni
    • 1
  1. 1.Department of Surgery, Bikur Cholim Hospital, Jerusalem, IsraelIsrael
  2. 2.Department of Surgery B, Hadassah University Hospital, Jerusalem, IsraelIsrael
  3. 3.Gastroenterology Unit, Bikur Cholim Hospital, Jerusalem, IsraelIsrael

Personalised recommendations