Mirizzi syndrome
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How to Cite

1.
Campos Quesada M, Molina Castaño D, Núñez Guerrero A. Mirizzi syndrome. Rev.méd.sinerg. [Internet]. 2020Jun.1 [cited 2024Nov.22];5(6):e513. Available from: https://revistamedicasinergia.com/index.php/rms/article/view/513

Abstract

Mirizzi syndrome, a rare complication in patients with cholelithiasis, has been linked to gallbladder cancer, due to chronic inflation and bile stasis that it triggers. Risk factors are known in specific populations, mainly in women, adults over 40 and obese. To understand its pathophysiology, it is necessary to know the genesis of the formation of stones, these stones are embedded in the Hartman's sac, causing obstruction of the common hepatic duct, and can evolve into internal fistulas or necrosis. There are different radiodiagnostic means for Mirizzi syndrome, with endoscopic retrograde cholangiopancreatography being the gold standard. The surgical approach and treatment of the syndrome is dictated by the classification given to it, from a laparoscopic cholecystectomy to a laparotomy choledochoplasty. Preoperative diagnosis involves a more appropriate approach and better postoperative results.

https://doi.org/10.31434/rms.v5i6.513

Keywords

mirizzi syndrome. cholelithiasis. biliary fistulae. laparoscopic surgery. laparotomy. common bile duct.
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