Type III Mirizzi, successfully treated with a free gallbladder flap, a case report.
作者信息
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
机构信息
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.
出版信息
Int J Surg Case Rep. 2020;76:37-40. doi: 10.1016/j.ijscr.2020.09.103. Epub 2020 Sep 23.
BACKGROUND
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.
CASE PRESENTATION
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.
CONCLUSION
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.
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