Mirizzi's syndrome

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ICD-9 576.2
DiseasesDB 33254

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Epidemiology

Pathophysiology

Features

Mirizzi syndrome has no consistent or unique clinical features that distinguish it from other more common forms of obstructive jaundice. Symptoms of recurrent cholangitis, jaundice, right upper quadrant pain, and elevated bilirubin and alkaline phosphatase may or may not be present. Acute presentations of the syndrome include pancreatitis or cholecystitis.

Diagnosis

CT scan or ultrasonography usually make the diagnosis. Often, ERCP is used to define the lesion anatomically prior to surgery.

Treatment

The treatment of choice is surgical excision of the gallbladder, and reconstruction of the common hepatic duct and common bile duct.

Eponym

It is named for Pablo Mirizzi.[1][2]

References

  1. Template:WhoNamedIt
  2. Mirizzi PL: Syndrome del conducto hepatico. J Int de Chir 1948; 8: 731-77


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