Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease

Canadian Journal of Gastroenterology & Hepatology
Gennaro ClementeFelice Giuliante

Abstract

Mirizzi syndrome is a condition difficult to diagnose and treat, representing a particular "challenge" for the biliary surgeon. The disease can mimic cancer of the gallbladder, causing considerable diagnostic difficulties. Furthermore, it increases the risk of intraoperative biliary injury during cholecystectomy. The aim of this study is to point out some particular aspects of diagnosis and treatment of this condition. The clinical records of patients with Mirizzi syndrome, treated in the last five years, were reviewed. Clinical data, cholangiograms, preoperative diagnosis, operative procedures, and early and late results were examined. Eighteen consecutive patients were treated in the last five years. Presenting symptoms were jaundice, pain, and cholangitis. Preoperative diagnosis of Mirizzi syndrome was achieved in 11 patients, while 6 had a diagnosis of gallbladder cancer and 1 of Klatskin tumor. Seventeen patients underwent surgery, including cholecystectomy in 8 cases, bile duct repair over T-tube in 3 cases, and hepaticojejunostomy in 4 cases. Two cases (11.1%) of gallbladder cancer associated with the Mirizzi syndrome were incidentally found: a patient underwent right hepatectomy and another patient was unresectable. The...Continue Reading

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Citations

May 16, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Susan JohnMatthew D F McInnes
Oct 4, 2020·International Journal of Surgery Case Reports·Miguel A Moyón CMarcelo S Villacis
Feb 5, 2021·Annals of Medicine and Surgery·Gustavo Salgado-GarzaMario Rodarte-Shade
Jun 12, 2021·World Journal of Emergency Surgery : WJES·Nicola de'AngelisDaniele Sommacale

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Methods Mentioned

BETA
dissection
biopsies

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