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Combined endoscopic and surgical management of Mirizzi syndrome

Abstract.

Mirizzi syndrome is a form of obstructive jaundice caused by a stone impacted in the gallbladder neck or the cystic duct that impinges on the common hepatic duct with or without a cholecystocholedochal fistula. This syndrome is a rare complication of cholelithiasis that accounts for 0.1% of all patients with gallstone disease. Preoperative recognition is necessary to prevent injury to the common duct during surgery. We present a patient with a preoperative diagnosis of type I Mirizzi syndrome that was confirmed and drained by endoscopic retrograde cholangiography (ERC), followed by subtotal cholecystectomy. A review of the literature covering its clinical presentation, diagnosis, and surgical treatment is also presented.

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Similar content being viewed by others Explore related subjectsDiscover the latest articles and news from researchers in related subjects, suggested using machine learning. Author information Authors and Affiliations
  1. Department of Surgery, Bikur Cholim Hospital, Jerusalem, Israel, Israel

    D. Hazzan, D. Golijanin & E. Shiloni

  2. Department of Surgery B, Hadassah University Hospital, Jerusalem, Israel, Israel

    P. Reissman

  3. Gastroenterology Unit, Bikur Cholim Hospital, Jerusalem, Israel, Israel

    S. N. Adler

Authors
  1. D. Hazzan
  2. D. Golijanin
  3. P. Reissman
  4. S. N. Adler
  5. E. Shiloni
Additional information

Received: 2 September 1998/Accepted: 9 November 1998

About this article Cite this article

Hazzan, D., Golijanin, D., Reissman, P. et al. Combined endoscopic and surgical management of Mirizzi syndrome. Surg Endosc 13, 618–620 (1999). https://doi.org/10.1007/s004649901054

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