Cortés RM, Vázquez GA

Language: Spanish
References: 18
Page: 334-337
PDF size: 69.84 Kb.

ABSTRACT

Objective: To know whether the frequency of the Mirizzi syndrome (MS) suspected preoperatively and intentionally identified during surgery, corresponds to the reports in the literature.
Setting: Third level health care hospital.
Design: Prospective, observational study.
Patients and methods: We analyzed 442 patients with biliary surgical pathology, from November 1998 to February 2001; we identified the patients with suspected MS, assessing clinical parameters, laboratory tests and cabinet studies, as well as the performed surgical procedures.
Results: From the 442 patients with surgical biliary pathology, 21 were identified with the diagnosis of MS (4.7%), 18 women and 3 men, average age of 45.1 (range 16 to 76 years). Clinical data were: abdominal pain, 100%; jaundice, 100%; vomiting, 95%; fever, 38%. There was hyperbilirubinemia in 14 patients (67%). The ultrasound had a diagnostic sensitivity of 43%. Type I Mirizzi was identified in 13 (62%); type II in 6 (28%); type III in 1 (5%), and type IV in 1 (5%). Surgeries performed were: 21 cholecystectomies, 15 explorations of the biliary tract with placement of a T catheter, 1 choledochoplasty with placement of a vesicular wall stent, and one bilio-digestive shunt.
Conclusion: World literature reports a frequency of MS of 0.7 to 1.4%, in our study it was of 4.7%.

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