Mirizzi’s syndrome

Boulos Toursarkissian, Daniel T. Holley, Paul A. Kearney, Patrick C. McGrath, Thomas N. Zweng

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Mirizzi’s syndrome is a partial obstruction of the biliary tree caused by a stone impacted in the cystic duct, with or without development of a cholecystobiliary fistula. We report our experience with five cases and review current methods of diagnosis and management. Preoperative diagnosis greatly facilitates management. Diagnosis may require a combination of ultrasonography, computed tomography, and cholangiography (percutaneous or endoscopic retrograde). At surgery, dissection in the triangle of Calot should be minimized to avoid injury to the common bile duct. Often, a partial cholecystectomy is the only safe option. Defects in the common bile duct can be repaired by a variety of methods. The morbidity and mortality associated with this rare syndrome can be relatively high. A number of patients may have late biliary strictures.

Original languageEnglish (US)
Pages (from-to)471-475
Number of pages5
JournalSouthern medical journal
Volume87
Issue number4
DOIs
StatePublished - Apr 1994
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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