Abstract |
Mirizzi syndrome (MS) represents an uncommon clinical condition, being characterized by a narrowing of the common hepatic duct or its erosion by stones impacted in the cystic duct or gallbladder Hartman' s pouch. Very uncommonly, MS can be reported in patients with contemporaneous bile duct anomalies. The case is reported of a 76-year-old Caucasian woman with a MS with a cholecystobiliary fistula and a contemporaneous aberrant biliary duct for the right posterior segments.Due to the presence of an anatomical abnormality, an open approach was decided: also during surgery, it was impossible to clarify which part of the biliary tree the accessory duct merged into. After surgery, post-operative course was uneventful: the patient is alive without medical problems (follow-up: 16 months). MS represents a challenge for the surgeon. Contemporaneous presence of biliary abnormalities is anecdotic, increasing the risk of iatrogenic injuries. An open approach may be preferred in these conditions.
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Authors | F M Frattaroli, Q Lai, S Coiro, E Casciani, G Pappalardo |
Journal | La Clinica terapeutica
(Clin Ter)
Vol. 164
Issue 2
Pg. 139-41
( 2013)
ISSN: 1972-6007 [Electronic] Italy |
PMID | 23698208
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged
- Female
- Hepatic Duct, Common
(abnormalities)
- Humans
- Mirizzi Syndrome
(complications)
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