Laparoscopic resection of cholecystocolic fistula and subtotal cholecystectomy by tri-staple in a type V mirizzi syndrome
3,4] It starts as an inflammatory process and proceeds to a granulomatous reaction, the clinical features being right hypochondrium and epigastric pain, jaundice, vomiting and a high association with CBD stones and Mirizzi syndrome
Nine (5%) patients required conversion to an open cholecystectomy for various reasons: bile duct injury (n=1), inflamed GB with empyema and colonic injury (n=1), lateral tear of dilated cystic duct (n=1), Mirizzi syndrome
(n=3), adhesions from previous laparotomy (n=1), adhesions and small bowel injury (n=1), sealed GB perforation with adhesions (n=1).
We report the first case of Mirizzi syndrome
in a patient who presented with biliary obstruction caused by pure calcium carbonate stones.
sup] The gallbladder wall may appear irregular and thickened, with adhesions to surrounding tissue, and fistulas may develop into adjacent organs, and in some cases, can cause Mirizzi syndrome
With chronicity of inflammation caused by gallstone obstruction of the cystic duct or the gallbladder may fuse to the extrahepatic biliary tree, causing Mirizzi syndrome
, or fistulize into the intestinal tract, causing so-called gallstone ileus.
Complications of acute cholecystitis such as gangrenous cholecystitis and Mirizzi syndrome
can be diagnosed with MRCP.
Few similar cases are reported in literature but none of them is associated with Mirizzi syndrome
was revealed in all these patients.
Less common presentations and complications include the Mirizzi syndrome
, cholecystocholedochal fistula, and gallstone ileus.
LOS ANGELES -- Mirizzi syndrome
is an uncommon cause of bile duct obstruction, but one that it is vital to recognize, David L.
An unusual presentation of gall stones within Hartmann's pouch causes obstruction of common hepatic duct by extrinsic compression, a phenomenon known as Mirizzi syndrome