Preoperative diagnosis of mirizzi syndrome is complex and a high index of suspicion is necessary to avoid serious complications. Mirizzi syndrome is a compli cation of a long standing colelithiasis. Pdf mirizzi syndrome is a rare complication of cholelithiasis, characterized by jaundice due to compression of the bile duct. Mirizzi syndrome is a rare and chronic inflammation, caused by a calculus stuck to the hartmann bag. Somase a esse fato a dificuldade do diagnostico preoperatorio, pois nao ha apresentacao clinica e laboratorial especifica 4, 7, 10. Nur etwa jeder tausendste patient mit gallensteinleiden hat ein mirizzi. Tuttavia, nel campo della diagnosi e chirurgia e ancora una serie di questioni irrisolte.
Mirizzi syndrome is a rare and chronic inflammation, caused by a calculus stuck to the hartmann bag, with partial or complete obstruction of the main bile duct. Mirizzis syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder causing compression of the common hepatic duct, resulting in obstruction and jaundice. Apr 23, 2014 gr 08 12 p l mirizzi a surgeon and his syndrome dr wayne schwesinger duration. The obstructive jaundice can be caused by direct extrinsic compression by the stone or from fibrosis caused by chronic cholecystitis inflammation. Mirizzi postulava pero erroneamente che linfiammazione fosse causata.
Usefulness of endoscopy for diagnosing mirizzi syndrome. Ut health san antonio general surgery grand rounds 2,232 views. The surgical treatment of the mirizzi syndrome requires ability and care in the dissection of the biliary tract in order to perform the cholecystectomy, a safe operation of the biliary tract can be avoided and the removal of the calculus so can avoid any iatrogeny in the biliary tract, as in this particular case, where was opted to dissect the biliary tract incompletely through the torek. Os sinais e sintomas mais frequentes sao dor abdominal. Lawrence munson, mda department of general surgery, lahey clinic medical center, tufts. Gr 08 12 p l mirizzi a surgeon and his syndrome dr wayne schwesinger duration.
1141 60 57 533 1458 1526 674 733 478 233 627 1624 1104 476 819 881 1605 513 1158 210 304 424 180 1136 1032 162 79 1319 1246 792 677