Rust K R, Clancy T V, Warren G, Mertesdorf J, Maxwell J G
Department of Surgery, New Hanover Regional Medical Center, Wilmington, NC.
J Laparoendosc Surg. 1991 Jun;1(3):133-7. doi: 10.1089/lps.1991.1.133.
An impacted gallstone in the cystic duct with subsequent inflammation and edema resulting in extrinsic compression of the common bile or common hepatic duct with obstructive jaundice is known as Mirizzi's syndrome. An uncommon complication of cholelithiasis, Mirizzi's syndrome should be included in the differential diagnosis of any patient who has extrahepatic biliary obstruction. We present a case of a patient who underwent open rather than coelioscopic cholecystectomy based upon the preoperative diagnosis of Mirizzi's syndrome. A multidisciplinary approach to such patients facilitates the decision between open and endoscopic cholecystectomy. Mirizzi's syndrome may represent a contraindication to endoscopic cholecystectomy.
胆囊管内的嵌顿性胆结石，随后引发炎症和水肿，导致胆总管或肝总管受到外部压迫并伴有梗阻性黄疸，这被称为Mirizzi综合征。Mirizzi综合征是胆石症的一种罕见并发症，在任何患有肝外胆管梗阻的患者的鉴别诊断中都应予以考虑。我们报告一例患者，基于术前Mirizzi综合征的诊断，该患者接受了开腹而非腹腔镜胆囊切除术。对这类患者采用多学科方法有助于在开腹和内镜胆囊切除术之间做出决策。Mirizzi综合征可能是内镜胆囊切除术的禁忌证。
