Mirizzi's syndrome natural history, complications and prognosis: Difference between revisions
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'''Natural History''' | '''Natural History''' | ||
* Diagnosis of Mirizzi's syndrome is often missed due to its rarity. | * Diagnosis of Mirizzi's syndrome is often missed due to its rarity and this condition being confused with other more known conditions. | ||
* It presents with symptoms of recurrent [[cholangitis]], [[jaundice]] and [[right upper quadrant]] pain. | * It presents with symptoms of recurrent [[cholangitis]], [[jaundice]] and [[right upper quadrant]] pain. | ||
* Acutely, it presents with symptoms like that of [[Acute cholecystitis]]. | * Acutely, it presents with symptoms like that of [[Acute cholecystitis]]. | ||
* | |||
'''Complications''' | |||
* Cutaneous fistulas. | |||
* Secondary biliary cirrhosis. | |||
* Delayed onset biliary strictures. | |||
* Operative and postoperative morbidity and mortality (according to the severity of lesion). | |||
'''Prognosis''' | |||
* Severe inflammation and delayed or missed diagnosis may result in high [[morbidity]] and mortality. Surgical management is the mainstay treatment. <ref name="pmid29369192">{{cite journal |vauthors=Chen H, Siwo EA, Khu M, Tian Y |title=Current trends in the management of Mirizzi Syndrome: A review of literature |journal=Medicine (Baltimore) |volume=97 |issue=4 |pages=e9691 |date=January 2018 |pmid=29369192 |pmc=5794376 |doi=10.1097/MD.0000000000009691 |url=}}</ref> | |||
==References== | ==References== | ||
Revision as of 02:08, 24 July 2020
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Natural History, Complications and Prognosis
Natural History
- Diagnosis of Mirizzi's syndrome is often missed due to its rarity and this condition being confused with other more known conditions.
- It presents with symptoms of recurrent cholangitis, jaundice and right upper quadrant pain.
- Acutely, it presents with symptoms like that of Acute cholecystitis.
Complications
- Cutaneous fistulas.
- Secondary biliary cirrhosis.
- Delayed onset biliary strictures.
- Operative and postoperative morbidity and mortality (according to the severity of lesion).
Prognosis
- Severe inflammation and delayed or missed diagnosis may result in high morbidity and mortality. Surgical management is the mainstay treatment. [1]
References
- ↑ Chen H, Siwo EA, Khu M, Tian Y (January 2018). "Current trends in the management of Mirizzi Syndrome: A review of literature". Medicine (Baltimore). 97 (4): e9691. doi:10.1097/MD.0000000000009691. PMC 5794376. PMID 29369192.