Lawal O O, Oluwole S F, Aderounmu O A, Ndububa D
Department of Surgery, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Cent Afr J Med. 1993 Jun;39(6):126-8.
Mirizzi syndrome is an uncommon cause of obstructive jaundice in which the common hepatic duct is obstructed by stones trapped within the neck of the cystic duct of the gall-bladder. In long standing cases the calculi may erode through into the common duct and may in fact, impact in the resulting fistula. This syndrome with its later progression is a rare complication of calculous disease of the gall-bladder worldwide. While it is perhaps encountered in the developing countries where cholelithiasis is not as prevalent as in the affluent countries, there has not been much documentation. This article reports on a Nigerian patient with a fistulous complication of Mirizzi syndrome (Type II) managed by cholecystectomy and choledochoduodenostomy and also presents a discussion of the condition.
Mirizzi综合征是梗阻性黄疸的一种罕见病因，即肝总管被嵌顿于胆囊颈管内的结石阻塞。在病程较长的病例中，结石可能侵蚀进入胆总管，实际上可能嵌顿于由此形成的瘘管中。这种综合征及其后期进展在全球范围内都是胆囊结石病的一种罕见并发症。虽然在发展中国家可能会遇到这种情况，在这些国家胆石症不像富裕国家那样普遍，但相关文献记载不多。本文报道了一名患有Mirizzi综合征（II型）瘘管并发症的尼日利亚患者，该患者接受了胆囊切除术和胆总管十二指肠吻合术治疗，并对该病症进行了讨论。
