Siragusa G, Giuffrida M C, Mezzatesta P, De Simone M, Gelarda E
Cattedra di Chirurgia Generale I, Università degli Studi, Palermo.
Minerva Chir. 1997 Jan-Feb;52(1-2):97-102.
Two cases of Mirizzi's syndrome are reported. The syndrome consists of: external compression of the common bile duct due to a benign lesion (Type I)--presence of a cholecystobiliary fistula with impacted stones and partial or total obstruction of the hepatic duct (Type II). Clinical signs are non-specific and suggest at first sight an obstructive jaundice. Ultrasonography shows dilatation of the upper biliary tract with narrowing of the biliary tract below the dilatation. ERCP often proves mandatory for diagnosis. Therapeutical procedures are reported.
报告了两例Mirizzi综合征病例。该综合征包括：良性病变导致胆总管外部受压（I型）——存在胆囊胆管瘘伴结石嵌顿以及肝管部分或完全梗阻（II型）。临床症状无特异性，初看提示为梗阻性黄疸。超声检查显示上胆道扩张，扩张以下的胆道变窄。内镜逆行胰胆管造影（ERCP）通常对诊断至关重要。报告了治疗方法。
