Jung Cheol Woong, Min Byung Wook, Song Tae Jin, Son Gil Soo, Lee Hong Sik, Kim Seung Joo, Um Jun Won
Department of Surgery, Korea University College of Medicine, 126-1, 5-Ga Anam-Dong, Sungbuk-Gu, Seoul 136-705, Korea.
World J Gastroenterol. 2007 Nov 7;13(41):5527-9. doi: 10.3748/wjg.v13.i41.5527.
Mirizzi syndrome is a rare complication of gallstone disease, and results in partial obstruction of the common bile duct or a cholecystobiliary fistula. Moreover, congenital anatomical variants of the cystic duct are common, occurring in 18%-23% of cases, but Mirizzi syndrome underlying an anomalous cystic duct is an important clinical consideration. Here, we present an unusual case of type I Mirizzi syndrome with an uncommon anomalous cystic duct, namely, a low lateral insertion of the cystic duct with a common sheath of cystic duct and common bile duct.
Mirizzi综合征是胆石症的一种罕见并发症，可导致胆总管部分梗阻或胆囊胆管瘘。此外，胆囊管先天性解剖变异很常见，发生率为18%-23%，但由异常胆囊管引起的Mirizzi综合征是一个重要的临床考虑因素。在此，我们报告一例罕见的I型Mirizzi综合征病例，其胆囊管异常不常见，即胆囊管低位外侧插入且与胆总管共用一个鞘。
