Resumo

GALIANO GIL, Jesús Miguel; PACHECO FERRER, Orlando; HERNANDEZ ORTIZ, Yosmel  e  GARCIGA MARTIN, Yuranis. Mirizzi's syndrome type V, a rare and complex entity. Rev Cubana Cir [online]. 2017, vol.56, n.1, pp.84-90. ISSN 0034-7493.

Mirizzi's syndrome is a rare and chronic inflammation caused by a gallstone impacted in the Hartmann's pouch with partial or complete obstruction of the main bile duct, which results in difficult preoperative diagnosis and controversial therapeutic management. To present the treatment of five patients diagnosed with Mirizzi's syndrome type V. A search for articles was carried out in the databases Pubmed, Dynamed and Conchrane. The treatment of this entity was presented in five patients, taking into account the author´s experience of the review´s findings. Conventional surgery is the ideal access route for this entity´s treatment using bilioenteric bypass in its variants. A high index of suspicion is required for accurate preoperative and intraoperative diagnosis, with optimal surgical planning.

Palavras-chave : Mirizzi's syndrome; cholecystectomy; bilioenteric bypass; Roux-en-Y hepaticojejunostomy.

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