Espino Cortés H, Bernal Sahagún F, Murguía Domínguez D, Valdés Lías R
Unidad de Endoscopia, Hospital General de México, Secretaria de Salud, DF.
Rev Gastroenterol Mex. 1993 Jan-Mar;58(1):25-30.
We present five patients with Mirizzi syndrome diagnosed by ERCP. This syndrome is a rare cause of obstructive jaundice due to common biliary duct compression by a gallstone impacted in the cystic duct, neck of the gallbladder or Hartmann's pouch. Complications are bilio-biliary fistula, cholangitis and secondary biliary cirrhosis. Diagnostic methods, importance of preoperative diagnosis and surgical technics are reviewed.
我们报告了5例经内镜逆行胰胆管造影(ERCP)诊断为Mirizzi综合征的患者。该综合征是一种罕见的梗阻性黄疸病因,是由于胆囊管、胆囊颈部或Hartmann袋内的结石压迫胆总管所致。其并发症包括胆胆瘘、胆管炎和继发性胆汁性肝硬化。本文回顾了诊断方法、术前诊断的重要性及手术技巧。