Enzler P, Metzger U, Brühlmann W, Bühler H, Otto R, Largiadèr F, Ammann R
Schweiz Med Wochenschr. 1984 Nov 3;114(44):1534-7.
Three cases of Mirizzi's syndrome are reported, with special emphasis on differential diagnosis and preoperative evaluation. The syndrome consists of the triad cystic duct stone, inflammatory reaction and benign hepatic duct stenosis. Endoscopic retrograde cholangiography or percutaneous transhepatic cholangiography is mandatory for preoperative evaluation. Cholecystectomy with clearance of the bile duct is the treatment of choice.
本文报告了3例Mirizzi综合征,重点讨论了鉴别诊断和术前评估。该综合征由胆囊管结石、炎症反应和肝外胆管良性狭窄三联征组成。术前评估必须进行内镜逆行胆管造影或经皮肝穿刺胆管造影。首选的治疗方法是胆囊切除术并清除胆管结石。