Mirizzi syndrome management
Keywords:Cholestasis. Cystic Duct. Cholelithiasis. Cholestasis, Extrahepatic. Common Bile Duct Diseases. Retrospective Studies. Cholecystectomy. Cholangiopancreatography, Endoscopic Retrograde. Hepatic Duct, Common.
Objective: The aim of this study was to assess the clinical presentation and management of Mirizzi syndrome. Study Design: Descriptive study. Patients and Methods: During 2 year at Ittefaq Hospital Lahore 10 patients came with Mirizzi syndrome by chance. All patients presented with upper abdominal pain, jaundice and palpable gallbladder. ERCP was inconclusive in 5 patients preoperatively. Rest of 5 patients undergo surgery and on table cholangiogram was performed. Results: All the patients undergo surgery after pre-operative work up. ERCP in 5 patients and peroperative cholangiogram in 5 patients was inconclusive. Nine patients had type-I Mirizzi syndrome and 1 patient had type-II Mirizzi syndrome. Simple cholecystectomy was` performed in 9 patients but in 1 patient (type-II) after cholecystectomy T-tube was placed in common bile duct. Postoperatively T-tbe was removed after T-tube cholangiogram. Conclusion: Mirizzi syndrome is a uncommon presentation of gallstone. Its diagnosis is confirmed on cholangiog raphy and can be treated surgically safely.
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