Background: Mirizzi syndrome is a type of biliary obstruction caused by an impacted stone in the gallbladder neck or cystic duct that causes and extrinsic obstruction of the common bile duct, this condition if left untreated can lead to duct erosion, fistula, and cholangitis. Preoperative diagnosis is difficult since if not diagnosed correctly can elevate the risk of intraoperative bile duct injury.
Case Presentation: We present the case of a 61-year-old patient, she presented to our hospital with obstructive jaundice, and a type III Mirizzi syndrome was identified. Preoperative diagnosis was completed, and she was successfully treated using a gallbladder free flap. On follow-ups, the patient is doing well.
Conclusion: Mirizzi Syndrome is a rare syndrome that can lead to anatomical disturbances and surgical difficulties due to the hostile territory it creates. High clinical awareness, an emphasis on the preoperative diagnosis, and safe surgical techniques minimizing bile duct injury can improve patients outcome.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530199 | PMC |
http://dx.doi.org/10.1016/j.ijscr.2020.09.103 | DOI Listing |
Diseases
December 2024
Department of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah 41477, Saudi Arabia.
Background: Obstructive jaundice is a common health challenge in daily clinical practice caused by a heterogeneous group of benign and malignant conditions in or around extrahepatic bile ducts. This study aimed to investigate the causes of obstructive jaundice, analyze the age and sex distribution, and report the locations of obstruction.
Methods: This was a retrospective study of electronic records of patients diagnosed with obstructive jaundice in the Hadhramout region in Yemen.
Dig Dis Sci
January 2025
Division of Gastroenterology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 2 Minsheng Road, Dalin, Chiayi, 62247, Taiwan.
Curr Probl Surg
November 2024
Gastroenterology and Hepatology Department, Hamad Medical Corporation, Doha, Qatar.
Acta Gastroenterol Belg
October 2024
Department of Gastroenterology, Centre Hospitalier de Wallonie picarde, Tournai, Belgium.
Mirizzi syndrome is a rare complication of chronic gallstone disease characterised by the compression of the common bile duct due to an impacted lithiasis in the infundibulum of the gallbladder or cystic duct. In this case study, we discuss an 85-yearold patient who presented with Mirizzi syndrome associated with septic shock. She was not eligible for cholecystectomy due to her advanced age and frailty, requiring a less invasive alternative.
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