Juárez CD, Hurtado DJL, Flores GS, Sentíes CS, Belio CA

Language: Spanish
References: 27
Page: 99-104
PDF size: 196.83 Kb.

ABSTRACT

Design: Retrospective, observational study.
Patients and methods: We reviewed the clinical records of seven patients with Mirizzi’s syndrome, analyzing their clinical course, diagnostic method, surgical treatment, and post-surgical evolution. We analyzed the following variables: age, gender, diagnostic methods, surgical procedure, morbidity and mortality.
Results: Five patients were women and two were men, their ages ranged from 28 to 82 years, average of 61. SD ± 19.5. Five cases corresponded to type II Mirizzi’s syndrome and two to type I; all patients presented an initial symptom of acute stomach. Definite diagnosis was established transoperatively. Five patients presented a cholecysto-biliary fistula and three a cholecysto-duodenal one. Ultrasound revealed cholelithiasis in seven patients and choledocholithiasis in five. Five patients were subjected to partial cholecystectomy to cover the fistula with a gallbladder patch, the two type I Mirizzi’s syndrome patients were subjected to total cholecystectomy. One patient developed an abscess in the gallbladder bed. No deaths occurred.
Conclusion: Mirizzi’s syndrome is an infrequent entity. In our study, all cases were diagnosed transoperatively.

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