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Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct

Mirizzi syndrome is a rare complication of long-term chronic cholecystitis, characterized by extrinsic compression of the common hepatic duct that may progress to development of cholecystobiliary fistula. Here we report a case of a 38-year-old female patient who underwent laparoscopic cholecystectom...

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Autores principales: Stuart, Christina M., Huey, Madeline G., Ghincea, Christian V., Pieracci, Fredric M., Brooke, Magdalene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Endo-Laparoscopic & Robotic Surgery 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10020744/
https://www.ncbi.nlm.nih.gov/pubmed/36936044
http://dx.doi.org/10.7602/jmis.2023.26.1.35
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author Stuart, Christina M.
Huey, Madeline G.
Ghincea, Christian V.
Pieracci, Fredric M.
Brooke, Magdalene
author_facet Stuart, Christina M.
Huey, Madeline G.
Ghincea, Christian V.
Pieracci, Fredric M.
Brooke, Magdalene
author_sort Stuart, Christina M.
collection PubMed
description Mirizzi syndrome is a rare complication of long-term chronic cholecystitis, characterized by extrinsic compression of the common hepatic duct that may progress to development of cholecystobiliary fistula. Here we report a case of a 38-year-old female patient who underwent laparoscopic cholecystectomy with intraoperative cholangiogram for acute cholecystitis and choledocholithiasis. Intraoperatively, the patient was found to have a Mirizzi syndrome complicated by cholecystobiliary fistula to the right hepatic duct. The gallbladder was successfully removed, cholelithiasis cleared and a ureteral stent was used in reconstruction. The patient was discharged on postoperative two and was doing well on routine follow-up. Ultimately, Mirizzi syndrome is a rare clinical entity that requires careful consideration during preoperative workup and a high suspicion when abnormal anatomy is encountered intraoperatively.
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spelling pubmed-100207442023-03-18 Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct Stuart, Christina M. Huey, Madeline G. Ghincea, Christian V. Pieracci, Fredric M. Brooke, Magdalene J Minim Invasive Surg Case Report Mirizzi syndrome is a rare complication of long-term chronic cholecystitis, characterized by extrinsic compression of the common hepatic duct that may progress to development of cholecystobiliary fistula. Here we report a case of a 38-year-old female patient who underwent laparoscopic cholecystectomy with intraoperative cholangiogram for acute cholecystitis and choledocholithiasis. Intraoperatively, the patient was found to have a Mirizzi syndrome complicated by cholecystobiliary fistula to the right hepatic duct. The gallbladder was successfully removed, cholelithiasis cleared and a ureteral stent was used in reconstruction. The patient was discharged on postoperative two and was doing well on routine follow-up. Ultimately, Mirizzi syndrome is a rare clinical entity that requires careful consideration during preoperative workup and a high suspicion when abnormal anatomy is encountered intraoperatively. The Korean Society of Endo-Laparoscopic & Robotic Surgery 2023-03-15 2023-03-15 /pmc/articles/PMC10020744/ /pubmed/36936044 http://dx.doi.org/10.7602/jmis.2023.26.1.35 Text en Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Stuart, Christina M.
Huey, Madeline G.
Ghincea, Christian V.
Pieracci, Fredric M.
Brooke, Magdalene
Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
title Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
title_full Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
title_fullStr Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
title_full_unstemmed Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
title_short Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
title_sort mirizzi syndrome complicated by type iv cholecystobiliary fistula to the right hepatic duct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10020744/
https://www.ncbi.nlm.nih.gov/pubmed/36936044
http://dx.doi.org/10.7602/jmis.2023.26.1.35
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