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Colegio de Medicos y Cirujanos República de Costa Rica

2010, Number 593

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Rev Med Cos Cen 2010; 67 (593)

Síndrome de Mirizzi

Salazar CB

Language: Spanish
References: 11
Page: 291-294
PDF size: 293.66 Kb.


ABSTRACT

Mirizzi syndrome is a complication of a long standing colelithiasis. It is consider an important but uncommon pathology of gallstones characterized by narrowing of the common hepatic duct due to mechanical compression or inflammation. Preoperative diagnosis of Mirizzi syndrome is complex and a high index of suspicion is necessary to avoid serious complications. Despite the technological and laboratory advances the diagnosis of MS is difficult. Failure to make the diagnosis preoperatively is not likely to present a major problem but the failure to consider the diagnosis intraoperatively may lead to disaster. Diagnosis and choice of operative repair may be best accomplished by open operative techniques. But once the diagnosis is known, successful laparoscopic management as well is possible but care should be taken to avoid duct injury.


REFERENCES

  1. Abou- Saif, A et al. Complications of gallstone disease: Mirizzi syndrome, cholecystocholedocal fistula and gallstone ileus. Am J Gastroenterol 2002; 97: 249-254

  2. Bagia, J.S. et al. Mirizzi Syndrome: An extra hazard for laparoscipic surgery. ANZ. Surg 2001;71, 394-397

  3. Chiam, Q et al. Coexistent gallbladder carcinoma in mirizzi syndrome. Australian radiology 2003; 47, 58-60

  4. C.H. Lai, Eric et al. Mirizzi syndrome : History, Present and Future Development. ANZ J.Surg. 2006; 76: 251-257

  5. Gomez, D et al. Mirizzi’s syndrome– results from a large western experience. HPB 2006;8: 474-479

  6. Griniatos, J et al. Exploración laparoscópica de la vía biliar: Experiencia de una unidad especializada. Cir Esp 2002; 71: 292-295

  7. Ibrarullah, Md et al. Mirizzi syndrome. Indian J.Surg. 2008; 70: 281-287

  8. Johnson LW et al. Mirizzi´s syndrome: experience from a multi-institutional review. Am Surg 2001; 67: 11-24

  9. Kok, K et al. Management of Mirizzi’s syndrome in the laparoscopic era. Surg Endosc 1998; 12: 1242-1244

  10. Shah, Omar et al. Management of Mirizzi syndrome: A new surgical approach. ANZ Sur 2001;71, 423-427

  11. Waisberg, J et al. Benign obstruction of the common hepatic duct (Mirizzi syndrome): diagnosis and operative management. Arq Gastroenterol 2005; 42: 13-18




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