Grohol Bryce, Fortin Grayson T, Ingold Tyler, Bennett Paul
Medicine, Liberty University College of Osteopathic Medicine, Lynchburg, USA.
Internal Medicine, Centra Lynchburg General Hospital, Lynchburg, USA.
Cureus. 2023 Feb 8;15(2):e34783. doi: 10.7759/cureus.34783. eCollection 2023 Feb.
Mirizzi syndrome (MS) describes a rare complication of cholelithiasis resulting from extrinsic compression of the common hepatic duct by impacted gallstones in the cystic duct or Hartmann's pouch. MS is most commonly seen in adults and is more prevalent in the female population. Due to the pathophysiology of MS being similar to other causes of cholecystitis and biliary obstruction, the symptomatology is rather nonspecific. While ultrasound and magnetic resonance cholangiopancreatography are commonly used for diagnosis, treatment of this condition typically involves cholecystectomy. Identifying MS versus other more common causes of obstructive jaundice is paramount in limiting complications. In this report, we describe a case of MS diagnosed in a 32-year-old male who presented with nonspecific abdominal pain and other signs of obstructive jaundice. The goal of this study is to show how identifying a rare underlying cause of a common presentation can lead to improved patient outcomes.
Mirizzi综合征（MS）是一种罕见的胆石症并发症，由胆囊管或Hartmann袋内嵌顿的胆结石对肝总管的外在压迫所致。MS最常见于成年人，在女性人群中更为普遍。由于MS的病理生理学与胆囊炎和胆道梗阻的其他原因相似，其症状相当不具特异性。虽然超声和磁共振胰胆管造影常用于诊断，但这种疾病的治疗通常包括胆囊切除术。在限制并发症方面，区分MS与其他更常见的梗阻性黄疸原因至关重要。在本报告中，我们描述了一例在一名32岁男性中诊断出的MS病例，该患者表现为非特异性腹痛和其他梗阻性黄疸体征。本研究的目的是展示识别常见表现的罕见潜在病因如何能改善患者预后。
