Yonetci Nadir, Kutluana Ufuk, Yilmaz Mustafa, Sungurtekin Ugur, Tekin Koray
Department of Gastroenterology, Pamukkale University, 20070, Kinikli, Denizli, Turkey.
Hepatobiliary Pancreat Dis Int. 2008 Oct;7(5):520-4.
Mirizzi syndrome is a rare complication of cholelithiasis, characterized by the narrowing of the common hepatic duct as a result of mechanical compression and/or inflammation due to biliary calculus impacted in the infundibula of the gallbladder or in the cystic duct. In this study, we aimed to describe the clinical presentations, investigations, operative details, and complications of seven patients who underwent endoscopic retrograde cholangiopancreatography and were finally diagnosed with Mirizzi syndrome in our center.
We performed a retrospective analysis of the records of 7 patients with Mirizzi syndrome who underwent endoscopic retrograde cholangiopancreatography.
The incidence of Mirizzi syndrome was 1.07% of 656 patients given endoscopic retrograde cholangiopancreatography. Ultrasonography was able to diagnose one case. Endoscopic retrograde cholangiopancreatography suggested the diagnosis in five cases and helped further in the management of these patients. Four patients had cholecystectomy and T-tube placement, and two had cholecystectomy and choledochoduodenostomy. One patient with type I Mirizzi syndrome according to the Csendes classification successfully underwent laparoscopic cholecystectomy.
In the study, the incidence of Mirizzi syndrome was 1.07% of patients who underwent endoscopic retrograde cholangiopancreatography. Preoperative diagnosis of Mirizzi syndrome by endoscopic retrograde cholangiopancreatography is important to prevent complications.
Mirizzi综合征是胆石症的一种罕见并发症，其特征为肝总管因胆囊漏斗部或胆囊管内的胆石机械性压迫和/或炎症而变窄。在本研究中，我们旨在描述7例接受内镜逆行胰胆管造影术并最终在本中心被诊断为Mirizzi综合征患者的临床表现、检查、手术细节及并发症情况。
我们对7例接受内镜逆行胰胆管造影术的Mirizzi综合征患者的记录进行了回顾性分析。
在656例行内镜逆行胰胆管造影术的患者中，Mirizzi综合征的发生率为1.07%。超声检查能诊断1例。内镜逆行胰胆管造影术提示5例诊断，并有助于这些患者的进一步治疗。4例患者行胆囊切除术及T管引流术，2例患者行胆囊切除术及胆总管十二指肠吻合术。1例根据Csendes分类为I型Mirizzi综合征的患者成功接受了腹腔镜胆囊切除术。
在本研究中，Mirizzi综合征的发生率为行内镜逆行胰胆管造影术患者的1.07%。通过内镜逆行胰胆管造影术对Mirizzi综合征进行术前诊断对于预防并发症很重要。
