Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery
Joint Authors
Sekine, Yuuki
Sugo, Hiroyuki
Iwanaga, Naoki
Neshime, Shigefumi
Machida, Michio
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Despite a considerable number of reports of Mirizzi syndrome, none have described the process of its development from simple cholecystolithiasis.
We report an extremely rare case of Mirizzi syndrome in which it was possible to observe the process of development of cholecystobiliary fistula from asymptomatic cholecystolithiasis until unavoidable surgical intervention 4 years later.
A 68-year-old woman presented at our hospital with right upper quadrant pain.
She had been diagnosed as having asymptomatic cholecystolithiasis 4 years previously.
Diagnostic abdominal computed tomography (CT) had revealed a 1.9 cm radiopaque stone, and thereafter, the patient had been monitored by imaging alone.
CT conducted 6 months before the present admission revealed that the gallbladder stone was compressing the common hepatic duct, although the patient remained asymptomatic.
On admission, abdominal CT showed that the gallbladder stone was obstructing the common bile duct with dilatation of the intrahepatic duct.
Endoscopic retrograde cholangiopancreatography revealed a round filling defect at the confluence of the common bile duct and the image of the cystic duct; therefore, the patient was categorized as having Mirizzi syndrome type III, according to the Csendes classification.
Intraoperative findings revealed a cholecystobiliary fistula involving up to two-thirds of the circumference of the common bile duct.
American Psychological Association (APA)
Sugo, Hiroyuki& Sekine, Yuuki& Iwanaga, Naoki& Neshime, Shigefumi& Machida, Michio. 2020. Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery. Case Reports in Radiology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151072
Modern Language Association (MLA)
Sugo, Hiroyuki…[et al.]. Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery. Case Reports in Radiology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151072
American Medical Association (AMA)
Sugo, Hiroyuki& Sekine, Yuuki& Iwanaga, Naoki& Neshime, Shigefumi& Machida, Michio. Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery. Case Reports in Radiology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151072
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151072