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Abstract
Mirizzi syndrome results from acute and chronic inflammation caused by an impacted calculus in the Hartmann's pouch or cystic duct, with partial or complete obstruction of the main biliary tract and as the inflammatory process progresses, obstruction, necrosis and even internal biliary fistula may occur. Once this impaction occurs, several phenomena can be generated such as jaundice, acute cholecystitis, cholecysto-choledocholedochal or bilio-digestive fistula, choledocholithiasis, cholangitis and secondary biliary cirrhosis, among others. These signs and symptoms are not always logical and ordered, depending on the severity of each complication. Among the imaging study methods that can be used to diagnose a Mirizzi syndrome are abdominal ultrasound, computed axial tomography, cholangioresonance, endoscopic retrograde cholangiopancreatography. The most commonly used treatment for Misizzi Syndrome is surgery, essentially based on resection of the gallbladder and extraction of the impacted calculus, using different techniques to repair the defect in cases with fistula. Laparoscopic surgery is not the most recommended, some authors consider it contraindicated especially in cases with fistula.
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References
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