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Article: Mirizzi syndrome with cholecystocholedochal fistula: Preoperative diagnosis and management

TitleMirizzi syndrome with cholecystocholedochal fistula: Preoperative diagnosis and management
Authors
Issue Date1992
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surg
Citation
Surgery, 1992, v. 111 n. 3, p. 335-338 How to Cite?
AbstractGallstone obstruction of the cystic duct with resulting repeated attacks of inflammation and pressure necrosis leads to the formation of cholecystocholedochal fistulas (Mirizzi syndrome type II). Obstructive jaundice and cholangitis are the common presentations of the condition. These fistulas are often not recognized before operation and constitute a high risk of damage to the common duct during a formal cholecystectomy. A high index of suspicion is required to diagnose the condition. We report five patients with cholecystocholedochal fistulas diagnosed by endoscopic retrograde cholangiography that delineated the fistula and the obstructing stone. The plan of management was formulated before surgery, and persistent attempt to dissect the Calot's triangle was avoided. In three patients the common duct defect was closed with the use of a gallbladder flap. Hepaticojejunostomy was required for the two difficult cases with large common duct defects and inflamed tissue.
Persistent Identifierhttp://hdl.handle.net/10722/172665
ISSN
2015 Impact Factor: 3.309
2015 SCImago Journal Rankings: 1.620
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYip, AWCen_US
dc.contributor.authorChow, WCen_US
dc.contributor.authorChan, Jen_US
dc.contributor.authorLam, KHen_US
dc.date.accessioned2012-10-30T06:24:07Z-
dc.date.available2012-10-30T06:24:07Z-
dc.date.issued1992en_US
dc.identifier.citationSurgery, 1992, v. 111 n. 3, p. 335-338en_US
dc.identifier.issn0039-6060en_US
dc.identifier.urihttp://hdl.handle.net/10722/172665-
dc.description.abstractGallstone obstruction of the cystic duct with resulting repeated attacks of inflammation and pressure necrosis leads to the formation of cholecystocholedochal fistulas (Mirizzi syndrome type II). Obstructive jaundice and cholangitis are the common presentations of the condition. These fistulas are often not recognized before operation and constitute a high risk of damage to the common duct during a formal cholecystectomy. A high index of suspicion is required to diagnose the condition. We report five patients with cholecystocholedochal fistulas diagnosed by endoscopic retrograde cholangiography that delineated the fistula and the obstructing stone. The plan of management was formulated before surgery, and persistent attempt to dissect the Calot's triangle was avoided. In three patients the common duct defect was closed with the use of a gallbladder flap. Hepaticojejunostomy was required for the two difficult cases with large common duct defects and inflamed tissue.en_US
dc.languageengen_US
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surgen_US
dc.relation.ispartofSurgeryen_US
dc.subject.meshAgeden_US
dc.subject.meshBiliary Fistula - Diagnosis - Surgery - Therapyen_US
dc.subject.meshCholangitis - Etiologyen_US
dc.subject.meshCholecystectomyen_US
dc.subject.meshCholelithiasis - Diagnosisen_US
dc.subject.meshCholestasis - Etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshSyndromeen_US
dc.titleMirizzi syndrome with cholecystocholedochal fistula: Preoperative diagnosis and managementen_US
dc.typeArticleen_US
dc.identifier.emailChan, J: jywchan1@hku.hken_US
dc.identifier.authorityChan, J=rp01314en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid1542859-
dc.identifier.scopuseid_2-s2.0-0026521220en_US
dc.identifier.volume111en_US
dc.identifier.issue3en_US
dc.identifier.spage335en_US
dc.identifier.epage338en_US
dc.identifier.isiWOS:A1992HG78700014-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridYip, AWC=7004871369en_US
dc.identifier.scopusauthoridChow, WC=7402281130en_US
dc.identifier.scopusauthoridChan, J=27171772200en_US
dc.identifier.scopusauthoridLam, KH=7403657342en_US

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