Lampropoulos Pavlos, Paschalidis Nikolaos, Marinis Athanasios, Rizos Spiros
Pavlos Lampropoulos, Nikolaos Paschalidis, Athanasios Marinis, Spiros Rizos, First Department of Surgery, Tzaneio General Hospital, Afentouli and Zanni STR, 18536, Piraeus, Greece.
World J Radiol. 2010 Oct 28;2(10):410-3. doi: 10.4329/wjr.v2.i10.410.
Mirizzi syndrome is a rare cause of intermittent obstructive jaundice, where an impacted stone in the cystic duct or Hartmann's pouch mechanically obstructs the common bile duct (CBD). We report a rare case of double cholecysto-biliary and cholecysto-enteric fistulae, in a 75-year-old female patient, presenting with a right upper quadrant abdominal pain and intermittent obstructive jaundice. Endoscopic retrograde cholangiopancreatography suggested Mirizzi syndrome. Operative findings included erosions of the lateral wall of the CBD and the second portion of the duodenum due to impacted gallstones. The defects were reconstructed primarily and a Kehr tube was inserted. The patient had an uneventful postoperative course and was discharged on the 14th postoperative day.
Mirizzi综合征是导致间歇性梗阻性黄疸的罕见病因，即胆囊管或Hartmann袋内的嵌顿结石机械性阻塞胆总管（CBD）。我们报告一例罕见的75岁女性患者，患有双胆囊胆管瘘和胆囊肠瘘，表现为右上腹疼痛和间歇性梗阻性黄疸。内镜逆行胰胆管造影提示Mirizzi综合征。手术所见包括嵌顿胆结石导致胆总管侧壁和十二指肠第二部糜烂。对缺损进行了一期修复，并插入了一根Kehr管。患者术后恢复顺利，术后第14天出院。
