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ISSN 1684-1824 (Electronic)

2013, Number 3

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Rev Méd Electrón 2013; 35 (3)

Mirizzi Syndrome Type IV: diagnosis and management through retrograde endoscopic cholangiopancreatography. Case report

Ramos PCM, Hernández RY, del Valle LP, Ruesca DC

Language: Spanish
References: 12
Page: 263-270
PDF size: 206.01 Kb.


ABSTRACT

The Mirizzi syndrome is a cholelithiasis rare complication, characterized by the mechanical obstruction of the hepato choledocus duct by a calculus impacted in the cystic or in the vesicular neck. We presented a case with cholelithiasis antecedents entering the hospital with a clinical picture compatible with acute cholangitis. We made an elective cholangiopancreatography finding a big protraction of the intrahepatic biliary tracts, stretch of the supraduodenal choledoc with a common cystic-vesicular neck and choledocian environment, forming a great duct of near 20 mm diameter, having inside an ovoid filling mistake which bigger diameter is 15 mm, directed to the choledocus and to the vesicle. We diagnosed a Mirizzi syndrome Type IV. In a patient with those characteristics, the cholangiopancreatography is an unavoidable diagnostic and therapeutic method.


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