Roesch-Dietlen F, Pérez-Morales AG, Martínez-Fernández S, Remes-Troche JM, Jiménez-García VA, Romero-Sierra G

Language: Spanish
References: 28
Page: 232-236
PDF size: 156.09 Kb.

ABSTRACT

Background: Mirizzi syndrome is a complication of gallbladder stones impacted in Hartmann’s pouch or cystic duct with compression of the bile duct, the diagnosis is made by imaging studies, although most of them are finding intraoperative surgical findings, his treatment is cholecystectomy and bile duct restoration when needed. Objective: to analyze a series of cases of Mirizzi syndrome and compare the results with those published in the bibliography.
Clinical case: We report 4 cases with Mirizzi syndrome in a cohort of 1,034 cases studied in the Hospital Español of Veracruz in 21 years.
Results: In our series the frequency of Mirizzi syndrome was 0.38%, the average age was 32.1 ± 58.4 years, 50% were male gender and 25% had jaundice with liver profile demonstration. In 1 case, ultrasound suggested Mirizzi syndrome and percutaneous cholangiography and computed tomography which confirmed the diagnosis. All patients underwent laparoscopic cholecystectomy, and 2 transcystic cholangiography was performed. One of the cases was classified as Type I-A and the other three as type I-B. (Beltran and Csendes). The postoperative evolution was satisfactory in all and no mortality was presented.
Conclusions: Mirizzi syndrome should be suspected in patients with gallstones who develop obstructive jaundice and it must be confirmed with imaging studies. The surgeon must take extreme precautions to avoid accidental injury to the bile ducts.

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