Cruz F O, Barriga P, Tocornal J, Burhenne H J
Gastrointest Radiol. 1983;8(3):249-53. doi: 10.1007/BF01948128.
The essential feature of the MIrizzi syndrome is partial common hepatic duct obstruction due to an impacted cystic duct stone. This entity has rarely been reported but is apparently more common than previously thought. Our review of the world literature shows 42 proven cases in 18 publications from 7 different countries. We are adding 11 further cases with surgical proof. The preoperative x-ray diagnosis of the Mirizzi syndrome was established in 10 of the 42 previously reported cases. This diagnostic problem was probably due to limitations of plain film and intravenous cholangiography techniques. The preoperative diagnosis was possible in 8 of our 11 cases, primarily with the use of transhepatic cholangiography. The preoperative diagnosis is important and can lead to a decrease in surgical complications, particularly if stone penetration, fistula formation, and adjacent inflammatory masses are demonstrated.
Mirizzi综合征的基本特征是胆囊管结石嵌顿导致肝总管部分梗阻。该病症鲜有报道，但显然比之前认为的更为常见。我们对世界文献的回顾显示，来自7个不同国家的18篇出版物中有42例确诊病例。我们又增加了11例经手术证实的病例。在之前报道的42例病例中，有10例术前通过X线确诊为Mirizzi综合征。这种诊断难题可能是由于平片和静脉胆管造影技术的局限性所致。在我们的11例病例中，有8例能够进行术前诊断，主要是通过经肝胆管造影。术前诊断很重要，可减少手术并发症，尤其是在证实有结石穿透、瘘管形成及邻近炎性肿块的情况下。
