伴有胆囊十二指肠瘘的Ⅱ型Mirizzi综合征：一种罕见的组合。
Mirizzi Syndrome Type II with Cholecystoduodenal Fistula: An Infrequent Combination.
作者信息
Faridi Mohammad Shazib, Pandey Anshuman
机构信息
Department of Surgery, University College of Medical Sciences & Guru Tegh Bahadur Hospital, Dilshad Garden, Delhi, 110095, India.
Department of Gastro-Surgery, Chatrapati Shahuji Maharaj Medical University, Lucknow, UP, 226013, India.
出版信息
Malays J Med Sci. 2014 Jan;21(1):69-71.
Abstract
We report a case of Mirizzi syndrome type II associated with biliary enteric fistula. It is important to identify this combination early, as it is associated with high morbidity. In our case, intraoperative findings were cholecystoduodenal fistula and communication of Hartmann's pouch with common bile duct (CBD). A subtotal cholecystectomy with excision of cholecystoduodenal fistula was performed. A minimal surgical maneuver of Calot's Triangle with repair of cholecystoduodenal fistula is required during the intraoperative period.
摘要
我们报告一例伴有胆肠瘘的Ⅱ型Mirizzi综合征病例。早期识别这种组合很重要，因为它与高发病率相关。在我们的病例中，术中发现为胆囊十二指肠瘘以及Hartmann袋与胆总管（CBD）相通。进行了胆囊次全切除术并切除胆囊十二指肠瘘。术中需要对胆囊三角进行最小限度的手术操作并修复胆囊十二指肠瘘。
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