Entrar/Registro  
HOME SPANISH
 
Cirujano General
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirujano General >Year 2001, Issue 2


Juárez CD, Hurtado DJL, Flores GS, Sentíes CS, Belio CA
Mirizzi’s syndrome: Experience from seven patients
Cir Gen 2001; 23 (2)

Language: Español
References: 27
Page: 99-104
PDF: 4. Kb.


Full text




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.


Key words: Gallbladder, Mirizzi’s syndrome, cholecysto-biliary fistula, cholecystectomy.


REFERENCIAS

  1. Dewar G, Chung SCS, Li AKC. Operative strategy in Mirizzi’s syndrome. Surg Gynecol Obstet 1990; 171: 157-9.

  2. Lubers JC. Mirizzi’s syndrome. World J Surg 1983; 7: 780-5.

  3. Csendes A, Díaz JC, Burdiles P, Maluenda F, Nava O. Mirizzi’s syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg 1989; 76: 1139-43.

  4. Didlake R, Haick AJ. Mirizzi’s syndrome. An uncommon cause of biliary obstruction. Am Surg 1990; 56: 268-9.

  5. Baer HU, Matthews JB, Schweizer WP, Gertsch P, Blumgart LH. Management of the Mirizzi syndrome and the surgical implications of cholecystcholedochal fistula. Br J Surg 1990; 77: 743-5.

  6. Fan ST, Lau WY, Lee MJR, Wong KP, Wong KK. Cholecystohepaticoledochal fistula: the value of pre-operative recognition. Br J Surg 1985; 72: 743-4.

  7. Cornud F, Grenier P, Belghiti J, Breil P, Nahum H. Mirizzi’s syndrome and biliobiliary fistulas: roentgenologic appearance. Gastrointest Radiol 1981; 6: 625-8.

  8. Alarcón A, Palma JP, Meneses M, Gil D, Alfonso JJ, Díaz H, et al. Mirizzi’s syndrome: scintigraphic diagnosis. Br J Surg 1992; 79Suppl: S17.

  9. Mishra MC, Vashishtha S, Tandon R. Biliobiliary fistula: preoperative diagnosis and management implications. Surgery 1990; 108: 835-9.

  10. Witte CL. Choledochal obstruction by cystic duct stone. Mirizzi’s syndrome. Am Surg 1984; 50: 241-3.

  11. Montefusco P, Spier N, Geiss AC. Another facet of Mirizzi’s syndrome. Arch Surg 1983; 118: 1221-3.

  12. Mc Sherry CK, Ferstenberg H, Virshu M. The Mirizzi’s syndrome: suggested classification and surgical therapy. Surg Gastroenterol 1982; 1: 219-25.

  13. Patt HH, Koontz AR. Cholecysto-choledochal fistula: a report of two cases. Ann Surg 1951; 134: 1064-5.

  14. Corlette MB, Bismuth H. Biliobiliary fistula. A trap in the surgery of cholelithiasis. Arch Surg 1975; 110: 377-83.

  15. Michie W, Gunn A. Bile duct injuries: a new suggestion for their repair. Br J Surg 1964; 51: 96-100.

  16. Rutledge RH. Methods of repair of non circumferential bile duct defects. Surgery 1983; 93: 333-42.

  17. Sandblom P, Tabrizian M, Rigo M, Fluckiger A. Repair of common bile duct defects using the gallbladder or cystic duct as a pedicled graft. Surg Gynecol Obstet 1975; 140: 425-32.

  18. Siegel JH, Yatto RP. Biliary endoprostheses for the management of retained common bile duct stones. Am J Gastroenterol 1984; 79: 50-4.

  19. Becker CD, Hassler H, Terrier F. Preoperative diagnosis of the Mirizzi’s syndrome: limitations of sonography and computed tomography. AJR Am J Roentgenol 1984; 143: 591-6.

  20. Ravo B, Epstein H, La Mendola S, Ger R. The Mirizzi’s syndrome: preoperative diagnosis by sonography and transhepatic cholangiography. Am J Gastroenterol 1986; 81: 688-90.

  21. Tulassay Z. Endoscopic retrograde cholangiopancreatography in Mirizzi’s syndrome [letter]. Am J Gastroenterol 1987; 82: 391-2.

  22. Starling JR, Matallana RH. Benign mechanical obstruction of the common hepatic duct (Mirizzi’s syndrome). Surgery 1980; 88: 737-40.

  23. Hayes MA, Goldenberg IS, Bishop CC. The developmental basis for bile duct anomalies. Surg Gynecol Obstet 1958; 107: 447-56.

  24. Dewbury KC. The features of the Mirizzi’s syndrome on ultrasound examination. Br J Radiol 1979; 52: 990-2.

  25. Puestow CB. Spontaneous internal biliary fistule. Ann Surg 1942; 115: 1043-54.

  26. Belzer FO, Watts JM, Ross HB, Dunphy JE. Auto-reconstruction of the common bile duct after venous patch graft. Ann Surg 1965; 162: 346-55.

  27. Blumgart LH, Kelley CJ. Hepaticojejunostomy in benign and malignant high bile duct stricture: approaches to the left hepatic ducts. Br J Surg 1984; 71: 257-61.






>Journals >Cirujano General >Year 2001, Issue 2
 

· Journal Index 
· Links 






       
Copyright 2019