Pak Stella, Valencia Damian, Sheehy Brendan, Agbim Uchenna, Askaroglu Yusuf, Dee Christine
Internal Medicine, Kettering Medical Center.
Department of Medicine, Kettering Medical Center.
Cureus. 2017 Nov 16;9(11):e1854. doi: 10.7759/cureus.1854.
Mirizzi syndrome, also known as extrinsic biliary compression syndrome, is a rare clinical entity in which the common bile duct is obstructed by compression by the impaction of one or more gallstones in the cystic duct or gallbladder infundibulum. This case illustrates an absolutely asymptomatic presentation of Mirizzi syndrome in a 62-year-old, otherwise healthy, woman. Mirizzi syndrome was treated with preemptive laparotomy cholecystectomy. The present case is exemplary for careful evaluation with the proper index of suspicion in establishment of preoperative diagnosis as well as prompt treatment prior to development of complications.
Mirizzi综合征，又称外在性胆管压迫综合征，是一种罕见的临床病症，其中胆总管因一枚或多枚胆结石嵌顿于胆囊管或胆囊漏斗部而受压梗阻。本病例展示了一名62岁、身体健康的女性Mirizzi综合征完全无症状的表现。Mirizzi综合征采用了预防性剖腹胆囊切除术进行治疗。本病例对于在术前诊断确立时进行仔细评估并保持适当的怀疑指数以及在并发症发生前进行及时治疗具有示范作用。
