Endoscopic images of amputation neuroma at the cystic duct stump

2019 ◽  
Vol 90 (6) ◽  
pp. 986-987
Author(s):  
Ichiro Yasuda ◽  
Saito Kobayashi ◽  
Kohei Nagata ◽  
Kosuke Takahashi ◽  
Toshiki Entani
Pain ◽  
1977 ◽  
Vol 3 (1) ◽  
pp. 88-89
Author(s):  
&NA; &NA;

2019 ◽  
Vol 64 ◽  
pp. 184-187
Author(s):  
Ryosuke Hirohata ◽  
Tomoyuki Abe ◽  
Hironobu Amano ◽  
Tsuyoshi Kobayashi ◽  
Akinori Shimizu ◽  
...  

1976 ◽  
Vol 131 (3) ◽  
pp. 369-370 ◽  
Author(s):  
Robert H. Zeff ◽  
Robert B. Pfeffer ◽  
Peter X. Adams ◽  
Michael Ruoff

1966 ◽  
Vol 53 (9) ◽  
pp. 766-768 ◽  
Author(s):  
R. A. Joske ◽  
L. R. Finlay-Jones

2020 ◽  
Author(s):  
MR Pineda-De Paz ◽  
FJ Flores-Renteria ◽  
LA Waller-Gonzalez ◽  
R Soto-Solis ◽  
Keyword(s):  

2016 ◽  
Vol 25 (1) ◽  
pp. 95-98 ◽  
Author(s):  
Koichi Soga ◽  
Kyoichi Kassai ◽  
Kenji Itani

The patient was a 66-year-old woman who had undergone laparoscopic cholecystectomy (Lap-C) secondary to chronic cholecystitis status post endoscopic choledocholithotomy 13 months previously. During surgery, Hem-o-Lok clips were used to control the cystic duct and the cystic artery. Due to the presence of extensive adhesions of the cystic duct and surrounding tissue, the surgeons had difficulty in debriding the area. Thirteen months after Lap-C, the patient underwent a screening esophagogastroduodenoscopy (EGD), which demonstrated clip appearance at the inferior wall of the first part of the duodenum. In the EGD, duodenal erosions and edema were observed around the clip. We appreciated that endoscopic clip removal would be difficult because of the presence of severe adhesions and inflammation of the duodenal bulb. On clinical examination of the patient, no major abnormalities or physical findings were noted. Therefore, we decided not to attempt to remove the clip. The patient was treated with an oral proton pump inhibitor to prevent extensive duodenal mucosal injury. Two months later, we repeated the EGD, which revealed that the clip was no longer present, and the duodenum was covered with normal mucosa surrounding the scar. Abbreviations: EGD: esophagogastroduodenoscopy; Lap-C: laparoscopic cholecystectomy; PPI: proton pump inhibitor.


Mirizzi syndrome is described in the 1940s as follows: partial obstruction of the secondary common hepatic duct by gallstones, impacted on the cystic duct or gallbladder infundibulum, associated with the inflammatory response that involved the cystic duct and the common hepatic duct. As it is a rare and delicate condition, differential diagnosis is extremely important, in which the patient's clinical condition is verified through anamnesis and complementary exams, where immediately after the surgical intervention can be performed. This work aims to describe, through a literature review, the clinical aspects and the surgical technique in Mirizzi Syndrome. Were used as a database for research sites containing scientific articles available online such as Virtual Health Library (VHL), Scientific Electronic Library Online (Scielo) and PubMed. 154 articles were found through the descriptors, where after applying the inclusion and exclusion criteria 11 articles remained to write the work. According to the articles surveyed, it is clear that most of them do not report the syndrome as the main diagnosis, possibly because it is a pathology with signs and symptoms very close to other diseases of the bile duct, therefore leaving the syndrome sometimes described in the context of these other diseases. Finally, it concludes that even though the preoperative diagnosis is rare, it should be suspected in individuals undergoing biliary surgery.


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