Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome
Joint Authors
Jones, Jason Deforest
Pawa, Rishi
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Mirizzi syndrome is an exceptionally rare diagnosis with an annual incidence of less than 1% in developed countries.
In this disease process, stone burden in the cystic duct or gallbladder neck leads to common hepatic duct obstruction, either by mechanical compression or secondary inflammation.
Mirizzi syndrome is classified into one of four types based on the presence and severity of cholecystobiliary fistulization.
Treatment is primarily surgical in nature and largely dictated by the type of Mirizzi syndrome encountered.
It is typically diagnosed in the preoperative or operative setting of cholecystectomy; however, there have been rare occurrences of postcholecystectomy diagnosis.
Factors thought to predispose to postcholecystectomy disease include low insertion of the cystic duct and long remnant duct length.
Few case reports exist describing this phenomenon and its management, which is made exceptionally difficult due to the presence of inflammation and surgical adhesion.
We present the case of a young female with postcholecystectomy Mirizzi syndrome who underwent successful endoscopic management using peroral cholangioscopy and electrohydraulic lithotripsy.
We also provide a brief overview of both Mirizzi syndrome and peroral cholangioscopy.
American Psychological Association (APA)
Jones, Jason Deforest& Pawa, Rishi. 2017. Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome. Case Reports in Gastrointestinal Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145450
Modern Language Association (MLA)
Jones, Jason Deforest& Pawa, Rishi. Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome. Case Reports in Gastrointestinal Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145450
American Medical Association (AMA)
Jones, Jason Deforest& Pawa, Rishi. Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndrome. Case Reports in Gastrointestinal Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145450
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145450