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2018, Number 3

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Rev Clin Esc Med 2018; 8 (3)

Síndrome de Mirizzi

Cárdenas QMF, Álvarez CR

Language: Spanish
References: 35
Page: 1-6
PDF size: 337.52 Kb.


ABSTRACT

Mirizzi syndrome described in 1948 by surgeon Pablo Luis Mirizzi, is a rare complication that occurs in approximately 1% of patients with cholelithiasis.
It consists of the impaction of a gallstone at the level of the cystic duct or infundibulum, which subsequently produces a compression of the common hepatic duct, which can cause erosion and generate a cholecysto-choledochal fistula.
Clinically it presents with jaundice of obstructive origin, and common symptoms of biliary pathology.
The preoperative diagnosis remains of great difficulty, several studies have been used among them are found; abdominal ultrasound, endoscopic retrograde cholangiopancreatography, percutaneous cholangiography or cholangioresonance, according to availability in the hospital centers.
The treatment is still surgical, the operative approach can be open or laparoscopic, depending on the stage and the experience of the surgeon in charge.


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