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Incidence and Management of Mirizzi Syndrome

  • Markus K. Müller
  • Frauke Löhlein
  • Markus Schäfer

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.

Keywords

Bile Duct Common Bile Duct Laparoscopic Cholecystectomy Cystic Duct Gallbladder Cancer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Baer HU, Matthews JB, Schweizer WP et al (1990) Management of Mirizzi syndrome and the surgical implications of cholecystocholedochal fistula. Br J Surg 77:743–745PubMedCrossRefGoogle Scholar
  2. 2.
    Bower TC, Nagorney DM (1988) Mirizzi syndrome. HPB Surg 1:67–74PubMedCrossRefGoogle Scholar
  3. 3.
    Curet MJ, Rosendale DE, Congilosi S (1994) Mirizzi syndrome in a Native American population. Am J Surg 168:616–621PubMedCrossRefGoogle Scholar
  4. 4.
    Kehr H (1905) Die in meiner Klinik geübte Technik der Gallensteinoperationen, mit einem Hinweis auf die Indikationen und die Dauererfolge. Munich: JF LehmannGoogle Scholar
  5. 5.
    Ruge E (1908) Beiträge zur Chirurgie der grossen Gallenwege (Ductus hepaticus, choledochus, und pancreaticus). Arch Clin Chir 78:47Google Scholar
  6. 6.
    Mirizzi P (1948) Syndrome del conducto epatico. J Int Chir 1948; 8:731–777Google Scholar
  7. 7.
    Puestow CB (1942) Spontaneous internal biliary fistula. Ann Surg 115:1053–1054CrossRefGoogle Scholar
  8. 8.
    Corlette MB, Bismuth H (1975) Bilio biliary fistula. A trap in the surgery of cholelithiasis. Arch Surg 110:377–383PubMedGoogle Scholar
  9. 9.
    McSherry CK (1982) The Mirizzi syndrome: suggested classification and surgical therapy. Surg Gastroenterol 1:219–225Google Scholar
  10. 10.
    Csendes A, Diaz JC, Burdiles P et al (1989) Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg 76:1139–1143PubMedCrossRefGoogle Scholar
  11. 11.
    Lai ECH, Lau WY (2006) Mirizzi syndrome: history, present and future development. A NZ J Surg 76:251–257CrossRefGoogle Scholar
  12. 12.
    Schäfer M, Schneiter R, Krähenbühl L (2003) Incidence and management of Mirizzi syndrome during laparoscopic cholecystectomy. Surg Endosc 17:1186–1190PubMedCrossRefGoogle Scholar
  13. 13.
    Kok KY, Goh PY, Ngoi SS (1998) Management of Mirizzi’s syndrome in the laparoscopic era. Surg Endosc 12:1242–1244PubMedCrossRefGoogle Scholar
  14. 14.
    Yeh CN, Jan YY, Chen MF (2003) Laparoscopic treatment for Mirizzi syndrome. Surg Endosc 17:1573–1578PubMedCrossRefGoogle Scholar
  15. 15.
    Al-Akeely MHA, Alam MK, Bismar HA et al (2005) Mirizzi syndrome: ten years experience from a teaching hospital. World J Surg 29:1687–1692PubMedCrossRefGoogle Scholar
  16. 16.
    Ahlawat SK, Singhania R, Al-Kawas FH (2007) Mirizzi syndrome. Curr Treat Opt Gastroenterol 10:102–110CrossRefGoogle Scholar
  17. 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 74:833–837CrossRefGoogle Scholar
  18. 18.
    Baron RL, Tublin ME, Petterson MS (2002) Imaging the spectrum of biliary tract disease. Radiol Clin N Am 40:1325–1354PubMedCrossRefGoogle Scholar
  19. 19.
    Salloum RM, Koniaris L (2004) Image of the month. Mirizzi syndrome. Arch Surg 28:54–57Google Scholar
  20. 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 7:865–874CrossRefGoogle Scholar
  21. 21.
    Kim PN, Outwater EK, Mitchell DG (1999) Mirizzi syndrome: evaluation by MRI imaging. Am J Gastroenterol 94:2546–2550PubMedCrossRefGoogle Scholar
  22. 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 36:980–982PubMedCrossRefGoogle Scholar
  23. 23.
    Bornmann PC, Terblanche J (1985) Subtotal cholecystectomy: for the difficult gallbladder in portal hypertension and cholecystitis. Surgery 98:1–6Google Scholar
  24. 24.
    Douglas PR, Ham JM (1990) Partial cholecystectomy. A NZ J Surg 60: 595–597CrossRefGoogle Scholar
  25. 25.
    Cottier DJ, McKay C, Anderson JR (1991) Subtotal cholecystectomy. Br J Surg 78:1326–1328PubMedCrossRefGoogle Scholar
  26. 26.
    Chourdakis CN, Androulakakis PA, Lekakos NL (1976) Repair of the cholecystocholedochal fistulas using gallbladder, patching. Arch Surg 111:197–199PubMedGoogle Scholar
  27. 27.
    Stugnell NA, Sali A (1995) Choledochoplasty for cholecystocholedochal fistula (Mirizzi syndrome type II): a case report and literature review. A NZ J Surg 65:285–288CrossRefGoogle Scholar
  28. 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 47:529–533PubMedGoogle Scholar
  29. 29.
    Rutledge RH (1983) Methods of repair of noncircumferential bile duct defects. Surgery 93:333–342PubMedGoogle Scholar
  30. 30.
    Frauenschuh D, Greim R, Kraas E (2000) How to proceed in patients with carcinoma detected after laparoscopic cholecystectomy. Langenbecks Arch Surg 385:594–500CrossRefGoogle Scholar
  31. 31.
    Lazcano-Ponce EC, Miquel JF, Munoz N et al (2001) Epidemiology and molecular pathology of gallbladder cancer. CA Cancer J Clin 2001; 51:349–364Google Scholar
  32. 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 121:832–838PubMedCrossRefGoogle Scholar
  33. 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 79:640–644PubMedCrossRefGoogle Scholar
  34. 34.
    Prasad TLVD, Kumar A, Sikora SS et al (2006) Mirizzi syndrome and gallbladder cancer. J HBP Surg 13:323–326Google Scholar
  35. 35.
    Redaelli CA, Buchler MW, Schilling MK et al (1997) High coincidence of Mirizzi syndrome and gallbladder cancer. Surgery 121:58–63PubMedCrossRefGoogle Scholar
  36. 36.
    Miller FH, Sica GT (1996) Mirizzi syndrome associated with gallbladder cancer and biliary-enteric fistulas. Am J Radiol 167:95–97Google Scholar
  37. 37.
    Nishio H, Kamiya J, Nagino M et al (2000) Biliobiliary fistula associated with gallbladder cancer. Br J Surg 87:1656–1657PubMedCrossRefGoogle Scholar
  38. 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 89:238–241PubMedCrossRefGoogle Scholar
  39. 39.
    Zgraggen K, Birrer S, Maurer CA et al (1998) Incidence of port site recurrence after laparoscopic cholecystectomy for preoperatively unsuspected gallbladder carcinoma. Surgery 124:831–835CrossRefGoogle Scholar
  40. 40.
    Misra MC, Guleria S (2006) Management of cancer gallbladder found as a surprise on a resected gallbladder specimen. J Surg Oncol 93:690–698PubMedCrossRefGoogle Scholar
  41. 41.
    Steinert R, Nestler G, Sagynaliev E et al (2006) Laparoscopic cholecystecomy and gallbladder cancer. J Surg Oncol 93:682–689PubMedCrossRefGoogle Scholar
  42. 42.
    England RE, Martin DF (1997) Endoscopic management of Mirizzi’s syndrome. Gut 40:272–276PubMedGoogle Scholar
  43. 43.
    Tsuyugucchi T, Saisho H, Ishihara T et al (2000) Long-term follow-up after treatment of Mirizzi syndrome by peroral cholangioscopy. Gastrointest Endosc 52:639–644CrossRefGoogle Scholar
  44. 44.
    Benninger J, Rabenstein T, Farnbacher M et al (2004) Extracorporeal shockwaver lithotripsy of gallstones in cystic duct remnants and Mirizzi syndrome. Gastrointest Endosc 60:454–459PubMedCrossRefGoogle Scholar
  45. 45.
    Delcenserie R, Joly JP, Dupas JL (1992) Endoscopic diagnosis and treatment of Mirizzi syndrome. J Clin Gastroenterol 15:343–346PubMedCrossRefGoogle Scholar
  46. 46.
    Binmoeller KF, Thonke F, Sochendra N (1993) Endoscopic treatment of Mirizzi’s syndrome. Gastrointest Endosc 39:532–536PubMedCrossRefGoogle Scholar
  47. 47.
    Oxtoby JW, Yeong CC, West DJ (1994) Mirizzi syndrome treated by percutaneous stone removal. Cardiovasc Intervent Radiol 17:207–209PubMedCrossRefGoogle Scholar
  48. 48.
    Adam A, Roddie ME, Benjamin IS (1993) Mirizzi syndrome—treatment with metallic endoprosthesis (case report). Clin Radiol 48:198–200PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Markus K. Müller
    • 1
  • Frauke Löhlein
    • 1
  • Markus Schäfer
    • 1
  1. 1.Department of Visceral and Transplantation SurgeryUniversity Hospital of ZurichZurichSwitzerland

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