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Incidence and Management of Mirizzi Syndrome

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Biliary Lithiasis

Abstract

Mirizzi syndrome is a rare clinical entity that is defined as a benign mechanical obstruction of the hepatic duct caused by an impacted gall stone in the gallbladder neck or cystic duct. It includes a wide spectrum of anatomical changes, ranging from simple gallstone impaction with biliary obstruction to complete erosion of the gallbladder wall and hepatic duct with consecutive cholecysto-choledochal fistula formation.

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References

  1. Baer HU, Matthews JB, Schweizer WP et al (1990) Management of Mirizzi syndrome and the surgical implications of cholecystocholedochal fistula. Br J Surg 77:743–745

    Article  PubMed  CAS  Google Scholar 

  2. Bower TC, Nagorney DM (1988) Mirizzi syndrome. HPB Surg 1:67–74

    Article  PubMed  CAS  Google Scholar 

  3. Curet MJ, Rosendale DE, Congilosi S (1994) Mirizzi syndrome in a Native American population. Am J Surg 168:616–621

    Article  PubMed  CAS  Google Scholar 

  4. Kehr H (1905) Die in meiner Klinik geübte Technik der Gallensteinoperationen, mit einem Hinweis auf die Indikationen und die Dauererfolge. Munich: JF Lehmann

    Google Scholar 

  5. Ruge E (1908) Beiträge zur Chirurgie der grossen Gallenwege (Ductus hepaticus, choledochus, und pancreaticus). Arch Clin Chir 78:47

    Google Scholar 

  6. Mirizzi P (1948) Syndrome del conducto epatico. J Int Chir 1948; 8:731–777

    Google Scholar 

  7. Puestow CB (1942) Spontaneous internal biliary fistula. Ann Surg 115:1053–1054

    Article  Google Scholar 

  8. Corlette MB, Bismuth H (1975) Bilio biliary fistula. A trap in the surgery of cholelithiasis. Arch Surg 110:377–383

    PubMed  CAS  Google Scholar 

  9. McSherry CK (1982) The Mirizzi syndrome: suggested classification and surgical therapy. Surg Gastroenterol 1:219–225

    Google Scholar 

  10. Csendes A, Diaz JC, Burdiles P et al (1989) Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg 76:1139–1143

    Article  PubMed  CAS  Google Scholar 

  11. Lai ECH, Lau WY (2006) Mirizzi syndrome: history, present and future development. A NZ J Surg 76:251–257

    Article  Google Scholar 

  12. Schäfer M, Schneiter R, Krähenbühl L (2003) Incidence and management of Mirizzi syndrome during laparoscopic cholecystectomy. Surg Endosc 17:1186–1190

    Article  PubMed  Google Scholar 

  13. Kok KY, Goh PY, Ngoi SS (1998) Management of Mirizzi’s syndrome in the laparoscopic era. Surg Endosc 12:1242–1244

    Article  PubMed  CAS  Google Scholar 

  14. Yeh CN, Jan YY, Chen MF (2003) Laparoscopic treatment for Mirizzi syndrome. Surg Endosc 17:1573–1578

    Article  PubMed  Google Scholar 

  15. Al-Akeely MHA, Alam MK, Bismar HA et al (2005) Mirizzi syndrome: ten years experience from a teaching hospital. World J Surg 29:1687–1692

    Article  PubMed  Google Scholar 

  16. Ahlawat SK, Singhania R, Al-Kawas FH (2007) Mirizzi syndrome. Curr Treat Opt Gastroenterol 10:102–110

    Article  Google Scholar 

  17. Tan KY, Ching HC, Chen CYY et al (2004) Mirizzi syndrome: noteworthy aspects of a retrospective study in one study. A NZ J Surg 74:833–837

    Article  Google Scholar 

  18. Baron RL, Tublin ME, Petterson MS (2002) Imaging the spectrum of biliary tract disease. Radiol Clin N Am 40:1325–1354

    Article  PubMed  Google Scholar 

  19. Salloum RM, Koniaris L (2004) Image of the month. Mirizzi syndrome. Arch Surg 28:54–57

    Google Scholar 

  20. Becker CD, Grossholz M, Mentha G et al (1997) MR cholangiopancretography: technique, potential indications, and diagnostic features of benign, postoperative, and malignant conditions. Eur J Radiol 7:865–874

    Article  CAS  Google Scholar 

  21. Kim PN, Outwater EK, Mitchell DG (1999) Mirizzi syndrome: evaluation by MRI imaging. Am J Gastroenterol 94:2546–2550

    Article  PubMed  CAS  Google Scholar 

  22. Kaya D, Karcaaltincaba M, Akhan O et al (2006) MRCP diagnosis of Mirizzi syndrome in a pediatric patient: importance of T1-weighed gradient echo images for diagnosis. Pediatr Radiol 36:980–982

    Article  PubMed  Google Scholar 

  23. Bornmann PC, Terblanche J (1985) Subtotal cholecystectomy: for the difficult gallbladder in portal hypertension and cholecystitis. Surgery 98:1–6

    Google Scholar 

  24. Douglas PR, Ham JM (1990) Partial cholecystectomy. A NZ J Surg 60: 595–597

    Article  CAS  Google Scholar 

  25. Cottier DJ, McKay C, Anderson JR (1991) Subtotal cholecystectomy. Br J Surg 78:1326–1328

    Article  PubMed  CAS  Google Scholar 

  26. Chourdakis CN, Androulakakis PA, Lekakos NL (1976) Repair of the cholecystocholedochal fistulas using gallbladder, patching. Arch Surg 111:197–199

    PubMed  CAS  Google Scholar 

  27. Stugnell NA, Sali A (1995) Choledochoplasty for cholecystocholedochal fistula (Mirizzi syndrome type II): a case report and literature review. A NZ J Surg 65:285–288

    Article  Google Scholar 

  28. Settaf A, Balafreij S (1993) Biliary surgery using the ligamentum teres. Technique for repairing loss of substance in the common bile duct. Ann Chir 47:529–533

    PubMed  CAS  Google Scholar 

  29. Rutledge RH (1983) Methods of repair of noncircumferential bile duct defects. Surgery 93:333–342

    PubMed  CAS  Google Scholar 

  30. Frauenschuh D, Greim R, Kraas E (2000) How to proceed in patients with carcinoma detected after laparoscopic cholecystectomy. Langenbecks Arch Surg 385:594–500

    Article  Google Scholar 

  31. Lazcano-Ponce EC, Miquel JF, Munoz N et al (2001) Epidemiology and molecular pathology of gallbladder cancer. CA Cancer J Clin 2001; 51:349–364

    CAS  Google Scholar 

  32. Hsing AW, Bai Y, Andreotti G et al (2007) Family history of gallstones and the risk of biliary tract cancer and gallstones: A population-based study in Shanghai, China. Int J Cancer 121:832–838

    Article  PubMed  CAS  Google Scholar 

  33. Chow WH, Johansen C, Gridley G et al (1999) Gallstones, cholecystectomy and risk of cancers of the liver, biliary tract and pancreas. Br J Cancer 79:640–644

    Article  PubMed  CAS  Google Scholar 

  34. Prasad TLVD, Kumar A, Sikora SS et al (2006) Mirizzi syndrome and gallbladder cancer. J HBP Surg 13:323–326

    Google Scholar 

  35. Redaelli CA, Buchler MW, Schilling MK et al (1997) High coincidence of Mirizzi syndrome and gallbladder cancer. Surgery 121:58–63

    Article  PubMed  CAS  Google Scholar 

  36. Miller FH, Sica GT (1996) Mirizzi syndrome associated with gallbladder cancer and biliary-enteric fistulas. Am J Radiol 167:95–97

    CAS  Google Scholar 

  37. Nishio H, Kamiya J, Nagino M et al (2000) Biliobiliary fistula associated with gallbladder cancer. Br J Surg 87:1656–1657

    Article  PubMed  CAS  Google Scholar 

  38. Darmas B, Mahmud S, Abbas A, Baker AL (2007) Is there any justification for the routine histological examination of straightforward cholecystectomy specimens? Ann R Coll Surg Engl 89:238–241

    Article  PubMed  CAS  Google Scholar 

  39. Zgraggen K, Birrer S, Maurer CA et al (1998) Incidence of port site recurrence after laparoscopic cholecystectomy for preoperatively unsuspected gallbladder carcinoma. Surgery 124:831–835

    Article  CAS  Google Scholar 

  40. Misra MC, Guleria S (2006) Management of cancer gallbladder found as a surprise on a resected gallbladder specimen. J Surg Oncol 93:690–698

    Article  PubMed  Google Scholar 

  41. Steinert R, Nestler G, Sagynaliev E et al (2006) Laparoscopic cholecystecomy and gallbladder cancer. J Surg Oncol 93:682–689

    Article  PubMed  Google Scholar 

  42. England RE, Martin DF (1997) Endoscopic management of Mirizzi’s syndrome. Gut 40:272–276

    PubMed  CAS  Google Scholar 

  43. Tsuyugucchi T, Saisho H, Ishihara T et al (2000) Long-term follow-up after treatment of Mirizzi syndrome by peroral cholangioscopy. Gastrointest Endosc 52:639–644

    Article  Google Scholar 

  44. Benninger J, Rabenstein T, Farnbacher M et al (2004) Extracorporeal shockwaver lithotripsy of gallstones in cystic duct remnants and Mirizzi syndrome. Gastrointest Endosc 60:454–459

    Article  PubMed  Google Scholar 

  45. Delcenserie R, Joly JP, Dupas JL (1992) Endoscopic diagnosis and treatment of Mirizzi syndrome. J Clin Gastroenterol 15:343–346

    Article  PubMed  CAS  Google Scholar 

  46. Binmoeller KF, Thonke F, Sochendra N (1993) Endoscopic treatment of Mirizzi’s syndrome. Gastrointest Endosc 39:532–536

    Article  PubMed  CAS  Google Scholar 

  47. Oxtoby JW, Yeong CC, West DJ (1994) Mirizzi syndrome treated by percutaneous stone removal. Cardiovasc Intervent Radiol 17:207–209

    Article  PubMed  CAS  Google Scholar 

  48. Adam A, Roddie ME, Benjamin IS (1993) Mirizzi syndrome—treatment with metallic endoprosthesis (case report). Clin Radiol 48:198–200

    Article  PubMed  CAS  Google Scholar 

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Müller, M.K., Löhlein, F., Schäfer, M. (2008). Incidence and Management of Mirizzi Syndrome. In: Biliary Lithiasis. Springer, Milano. https://doi.org/10.1007/978-88-470-0763-5_30

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  • DOI: https://doi.org/10.1007/978-88-470-0763-5_30

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0762-8

  • Online ISBN: 978-88-470-0763-5

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