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Mirizzi综合征及其外科治疗：一例报告

Mirizzi Syndrome and Its Surgical Interventions: A Case Report.

作者信息

Kelshikar Saili, Athavale Virendra, Parekh Rushabh A

机构信息

General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Aug 12;16(8):e66680. doi: 10.7759/cureus.66680. eCollection 2024 Aug.

DOI:10.7759/cureus.66680
PMID:39268291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11390951/
Abstract

A rare side effect of cholelithiasis, called Mirizzi syndrome (MS), arises when gallstones that are impacted in the Hartmann's pouch or the cystic duct extrinsically compress the common bile duct. This condition is typically managed with a cholecystectomy. In this case report, different surgical approaches are described according to each type of Mirizzi. We report a 62-year-old female who presented with abdominal pain. She underwent endoscopic retrograde cholangiopancreaticography (ERCP) and was diagnosed with MS. We performed a subtotal cholecystectomy with a choledochoduodenostomy.

摘要

一种罕见的胆结石副作用，称为Mirizzi综合征（MS），当嵌顿在Hartmann袋或胆囊管中的胆结石外在压迫胆总管时就会出现。这种情况通常通过胆囊切除术来处理。在本病例报告中，根据每种类型的Mirizzi描述了不同的手术方法。我们报告了一名62岁出现腹痛的女性。她接受了内镜逆行胰胆管造影（ERCP）并被诊断为MS。我们进行了胆囊次全切除术并做了胆总管十二指肠吻合术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/d8a7344c1476/cureus-0016-00000066680-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/a543e1618ba8/cureus-0016-00000066680-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/a94c85e4e632/cureus-0016-00000066680-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/c46f1f5fcb6b/cureus-0016-00000066680-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/bc369db7176b/cureus-0016-00000066680-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/f9b769dbefca/cureus-0016-00000066680-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/0674f9a10752/cureus-0016-00000066680-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/031a235f9993/cureus-0016-00000066680-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/36aeef7699af/cureus-0016-00000066680-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/1c32f56d1c60/cureus-0016-00000066680-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/d8a7344c1476/cureus-0016-00000066680-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/a543e1618ba8/cureus-0016-00000066680-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/a94c85e4e632/cureus-0016-00000066680-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/c46f1f5fcb6b/cureus-0016-00000066680-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/bc369db7176b/cureus-0016-00000066680-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/f9b769dbefca/cureus-0016-00000066680-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/0674f9a10752/cureus-0016-00000066680-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/031a235f9993/cureus-0016-00000066680-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/36aeef7699af/cureus-0016-00000066680-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/1c32f56d1c60/cureus-0016-00000066680-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d98d/11390951/d8a7344c1476/cureus-0016-00000066680-i10.jpg

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本文引用的文献

1
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Cureus. 2023 Feb 8;15(2):e34783. doi: 10.7759/cureus.34783. eCollection 2023 Feb.
2
Current trends in the management of Mirizzi Syndrome: A review of literature.Mirizzi综合征管理的当前趋势：文献综述
Medicine (Baltimore). 2018 Jan;97(4):e9691. doi: 10.1097/MD.0000000000009691.
3
Mirizzi syndrome: history, current knowledge and proposal of a simplified classification.米里齐兹综合征：历史、当前知识和简化分类建议。
World J Gastroenterol. 2012 Sep 14;18(34):4639-50. doi: 10.3748/wjg.v18.i34.4639.
4
The "inside approach of the gallbladder" is an alternative to the classic Calot's triangle dissection for a safe operation in severe cholecystitis.“胆囊内入路”是一种替代经典的胆囊三角解剖的方法，用于安全地治疗严重胆囊炎。
Surg Endosc. 2010 Oct;24(10):2626-32. doi: 10.1007/s00464-010-0966-5. Epub 2010 Mar 25.
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The relationship of Mirizzi syndrome and cholecystoenteric fistula: validation of a modified classification.Mirizzi综合征与胆囊肠瘘的关系：一种改良分类法的验证
World J Surg. 2008 Oct;32(10):2237-43. doi: 10.1007/s00268-008-9660-3.
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Benign obstruction of the common hepatic duct (Mirizzi syndrome): diagnosis and operative management.肝总管良性梗阻（Mirizzi综合征）：诊断与手术治疗
Arq Gastroenterol. 2005 Jan-Mar;42(1):13-8. doi: 10.1590/s0004-28032005000100005. Epub 2005 Jun 22.
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Mirizzi syndrome and cholecystobiliary fistula: a unifying classification.Mirizzi综合征与胆囊胆管瘘：一种统一的分类法
Br J Surg. 1989 Nov;76(11):1139-43. doi: 10.1002/bjs.1800761110.
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Management of the Mirizzi syndrome and the surgical implications of cholecystcholedochal fistula.Mirizzi综合征的管理及胆囊胆总管瘘的手术意义
Br J Surg. 1990 Jul;77(7):743-5. doi: 10.1002/bjs.1800770708.