Os sinais e sintomas mais frequentes sao dor abdominal. It is consider an important but uncommon pathology of gallstones characterized by narrowing of the common hepatic duct due to mechanical compression or inflammation. The initial surgical approach was carried on by laparoscopic via that confirmed. Mirizzi syndrome, biliary fistula, biliaryenteric fistula. Lawrence munson, mda department of general surgery, lahey clinic medical center, tufts. Preoperative diagnosis of mirizzi syndrome is complex and a high index of suspicion is necessary to avoid serious complications. Sick, sia uomini che donne assolutamente tutte le razze e nazioni. The obstructive jaundice can be caused by direct extrinsic compression by the stone or from fibrosis caused by chronic cholecystitis inflammation. Mirizzi syndrome is a compli cation of a long standing colelithiasis.
En cualquier momento esta dispuesto a recoger sus canicas e irse a casa. The first description is due to pablo mirizzi 1948, when he observed some factors which could cause extra hepatic cholesthasis in certain groups of. 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. Files are available under licenses specified on their description page. Mirizzis 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. 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 surgical treatment of the mirizzi syndrome requires ability and care in the dissection of the biliary tract in order to perform the cholecystectomy, a safe operation of the biliary tract can be avoided and the removal of the calculus so can avoid any iatrogeny in the biliary tract, as in this particular case, where was opted to dissect the biliary tract incompletely through the torek. Somase a esse fato a dificuldade do diagnostico preoperatorio, pois nao ha apresentacao clinica e laboratorial especifica 4, 7, 10. 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.
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