Abstract

LICEA VIDEAUX, Miguel et al. Mirizzi syndrome grade IV. A case report. Medisur [online]. 2022, vol.20, n.6, pp. 1219-1226.  Epub Dec 30, 2022. ISSN 1727-897X.

Mirizzi Syndrome is a condition derived from the impact of a stone in the cystic duct or infundibulum of the gallbladder. Chronic and complicated stone disease of the gallbladder is a determining factor. A patient with a history of obstructive jaundice, who was initially diagnosed with a periampullary tumor is presented. He was reassessed and several diagnostic tests were performed, until reaching the diagnosis of Mirizzi Syndrome, corroborated in the surgical act. MS is a rare disease of the bile duct whose treatment is surgical. The laparoscopic approach to perform cholecystectomy is the one of choice for grade I cases and in selected cases grade II. Cholecystectomy and bilioenteric bypass (hepaticojejunostomy) are the treatment for the rest of the cases.

Keywords : Mirizzi syndrome; cystic duct; digestive system fistula; choledocholithiasis.

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