Resumo

GALIANO GIL, Jesús Miguel. Mirizzi syndrome, a challenge for the surgeon. Rev Cubana Cir [online]. 2016, vol.55, n.2, pp. 0-0. ISSN 1561-2945.

Mirizzi syndrome is a rare and chronic inflammation, caused by a calculus stuck to the Hartmann bag, with partial or complete obstruction of the main bile duct. It is a lengthened complication of lithiasic biliary disease and effects a difficult preoperative diagnosis and a therapeutic complex treatment. To perform an updating about the of subject and to present the "state of art" diagnosis and treatment for this entity. A review of PubMed, Dynamed and Conchrane data was made (in both English and Spanish), looking for articles about Mirizzi syndrome. Additional papers were identified by manual search for references of relevant articles. A detailed updating on the diagnosis and treatment of this entity was presented, taking into account the experience of the author and the findings from the review. High suspicion index is required for an accurate preoperative and intraoperative surgical diagnoses leading to an optimal approach to treat this condition.

Palavras-chave : Mirizzi syndrome; cholecystectomy; biliary enteric bypass; Roux-Y hepaticojejunostomy.

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