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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.

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/a543e1618ba8/cureus-0016-00000066680-i01.jpg

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