Moyón C Miguel A, Molina Gabriel A, Moyón C Fernando X, Moyón H Miguel A, Echegaray Becquer G, Yunga Diego R, Basantes Ligia E, Villacis Marcelo S
Department of General Surgery, Hospital General San Francisco, IESS, Quito-Ecuador.
Universidad Internacional del Ecuador, Quito, Ecuador & Department of General Surgery at Hospital IESS Quito Sur, Quito-Ecuador.
Int J Surg Case Rep. 2020;76:37-40. doi: 10.1016/j.ijscr.2020.09.103. Epub 2020 Sep 23.
Mirizzi syndrome is a type of biliary obstruction caused by an impacted stone in the gallbladder neck or cystic duct that causes and extrinsic obstruction of the common bile duct, this condition if left untreated can lead to duct erosion, fistula, and cholangitis. Preoperative diagnosis is difficult since if not diagnosed correctly can elevate the risk of intraoperative bile duct injury.
We present the case of a 61-year-old patient, she presented to our hospital with obstructive jaundice, and a type III Mirizzi syndrome was identified. Preoperative diagnosis was completed, and she was successfully treated using a gallbladder free flap. On follow-ups, the patient is doing well.
Mirizzi Syndrome is a rare syndrome that can lead to anatomical disturbances and surgical difficulties due to the hostile territory it creates. High clinical awareness, an emphasis on the preoperative diagnosis, and safe surgical techniques minimizing bile duct injury can improve patients outcome.
Mirizzi综合征是一种由胆囊颈部或胆囊管内结石嵌顿引起的胆道梗阻，可导致胆总管的外部梗阻，若不治疗，这种情况可导致胆管侵蚀、瘘管形成和胆管炎。术前诊断困难，因为如果诊断不正确会增加术中胆管损伤的风险。
我们报告一例61岁患者，她因梗阻性黄疸入院，被诊断为III型Mirizzi综合征。完成了术前诊断，并采用胆囊游离瓣成功治疗。随访时，患者情况良好。
Mirizzi综合征是一种罕见综合征，因其造成的不利解剖结构可导致解剖紊乱和手术困难。提高临床意识、重视术前诊断以及采用安全的手术技术以尽量减少胆管损伤可改善患者预后。
