Sindrome de mirizzi pdf 2017

Mirizzi syndrome, known as extrinsic bile compression syndrome, is a rare complication of cholecystitis and chronic cholelithiasis, secondary to the obliteration of the infundibulum of the gallbladder or cystic duct caused by the impact of one or more calculations in these anatomical structures, which leads to compression of the adjacent bile duct, resulting in partial or complete. Elevated ca 199 levels in a patient with mirizzi syndrome. Mirizzi syndrome ms has a low incidence in patients with gallbladder disease. Introduction refers to common hepatic duct obstruction caused by an extrinsic compression from an impacted stone in the cystic duct or hartmanns pouch of the gallbladder occurs in approximately 0. Mirizzi syndrome is a rare complication of gallstone disease, with a reported incidence between 0. The initial surgical approach was carried on by laparoscopic via that confirmed. Mirizzi syndrome is defined as common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct or infundibulum of the gallbladder. The mirizzi syndrome is an unusual presentation of gallstones which occurs when a gallstone becomes impacted in either hartmanns pouch of the gallbladder or the cystic duct, causing obstruction of the common hepatic duct by extrinsic compression. Mirizzi syndrome is an anatomic disorder of the biliary. Mirizzi syndrome is often not recognized preoperatively in patients.

The authors present the etiopathogenic and clinical aspects artigo original 301. The coexistence of gallbladder cancer seems to be more frequent in patients with. Mirizzi s syndrome submitted to surgical treatment. In choledochoplasty, we the utilize a pedicled graft of gallbladder remnant in treatment of mirizzis syndrome 8, 9. In type ia, fundusfirst cholecystectomy with simple closure of cystic duct while in type ib choledochoplasty. The first description is due to pablo mirizzi 1948, when he observed some factors which could cause extra hepatic cholesthasis in certain groups of. Laparoscopic subtotal cholecystectomy for mirizzi syndrome.