Although mirizzi syndrome is widely reported in literature, little is known about acute acalcholous cholecystitis determinig the findings of a. Shortly after the advent of laparoscopy for the treatment of gallbladder disease, rust et al. Mirizzi s syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder causing compression of the common hepatic duct, resulting in obstruction and jaundice. Mirizzi syndrome is a rare complication and it occurs approximately on 0. Somase a esse fato a dificuldade do diagnostico preoperatorio, pois nao ha apresentacao clinica e laboratorial especifica 4, 7, 10. It was named after pablo mirizzi, who defined the syndrome as a benign common hepatic duct obstruction due to gallstone impaction in the gallbladder neck resulting in local inflammation and bile duct spasm. Lawrence munson, mda department of general surgery, lahey clinic medical center, tufts. Preoperative diagnosis may be difficult despite the availability of multiple imaging modalities. Mirizzi syndrome ms has a low incidence in patients with gallbladder disease. Mirizzi syndrome is an important complication of gallstone disease. The initial surgical approach was carried on by laparoscopic via that confirmed.
Mirizzi syndrome is a disease with low prevalence, which must be taken into account in biliary surgery, because the treatment varies according to the intraoperative findings and the experience of. Uno dei sintomi piu evidenti della sindrome di merizzi e littero. The mirizzi syndrome was described by pablo luis mirizzi in 1948, who. Mirizzis syndrome is a rare complication in which a gallstone becomes impacted in the cystic. The mirizzi syndrome consists of the obstruction either of the common hepatic duct or the choledocus, secondary to the extrinsic compression due to the impact of calculus in the cystic duct or in the gallbladder infundibulum 4. Third, a long cystic duct running parallel to the common bile duct with low insertion. Its more frequent on women between 21 to 90 years old, probably a reflection of the gallstones preponderance in this group. Mirizzi syndrome is a rare complication of gallstone disease, with a reported incidence between 0. The mirizzi syndrome is an unusual presentation of gallstones which occurs when a gallstone becomes impacted in either hartmanns pouch of the gallbladder or the cystic duct, causing obstruction of the common hepatic duct by extrinsic compression. The mirizzi syndrome sm is used to describe the mechanical. Patients with mirizzi syndrome can present with jaundice, fever, and right upper quadrant pain. The first description is due to pablo mirizzi 1948, when he observed some factors which could cause extra hepatic cholesthasis in certain groups of.