Wire-guided intraductal US in the assessment of bile duct strictures with Mirizzi syndrome-like features at ERCP

2002 ◽  
Vol 56 (6) ◽  
pp. 873-879 ◽  
Author(s):  
Jong Ho Moon ◽  
Young Deok Cho ◽  
Young Koog Cheon ◽  
Chang Beom Ryu ◽  
Young Seok Kim ◽  
...  
Keyword(s):  
Bile Duct ◽  
Mirizzi Syndrome

scholarly journals Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Arpit Amin ◽  
Yuriy Zhurov ◽  
George Ibrahim ◽  
Anthony Maffei ◽  
Jonathan Giannone ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Cystic Duct ◽  
Mirizzi Syndrome ◽  
Endoscopic Retrograde ◽  
Laparoscopic Management ◽  
Novel Strategy ◽  
Laparoscopic Techniques ◽  
Stage 1 ◽  
Bile Duct Stent

Mirizzi syndrome has been defined in the literature as common bile duct obstruction resulting from calculi within Hartmann’s pouch or cystic duct. We present a case of a 78-year-old female, who developed postcholecystectomy Mirizzi syndrome from a remnant cystic duct stone. Diagnosis of postcholecystectomy Mirizzi syndrome was made on endoscopic retrograde cholangiography (ERCP) performed postoperatively. The patient was treated with a novel strategy by combining advanced endoscopic and laparoscopic techniques in three stages as follows: Stage 1 (initial presentation): endoscopic sphincterotomy with common bile duct stent placement; Stage 2 (6 weeks after Stage 1): laparoscopic ultrasonography to locate the remnant cystic duct calculi followed by laparoscopic retrieval of the calculi and intracorporeal closure of cystic duct stump; Stage 3 (6 weeks after Stage 2): endoscopic removal of common bile duct stent along with performance of completion endoscopic retrograde cholangiogram. In addition, we have performed an extensive review of the various endoscopic and laparoscopic management techniques described in the literature for the treatment of postcholecystectomy syndrome occurring from retained cystic duct stones.

scholarly journals NUMBER OF COMMON BILE DUCT STONES WITHOUT CHOLANGITIS CORRELATES WITH BACTERIOLOGIC ASSESSMENT OF BILE

2019 ◽  
pp. 26-29
Author(s):  
I. N. Mamontov
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Mirizzi Syndrome ◽  
Bile Duct Stones ◽  
Duodenal Papilla ◽  
E Coli ◽  
Factors Influencing ◽  
The Common ◽  
Impacted Stone

Abstract. Aim: to determine the factors influencing on bacteribilia in patients with benign obstruction of the extrahepatic biliary tract (BOEBT). Materials and Methods. A study of 30 cases of BOEBT with bacteriologic bile assessment was performed. A comparison of the incidence of different factors in patients with or without bacteriobilia was done. Results. Positive bile culture was in 22 (73.3%) patients. The most common were E. coli and Klebsiella (68.2%). There was no difference (p<0.05) in sex, age, bilirubin level, gallbladder condition, common bile duct size, major duodenal papilla (MDP) size, common bile duct stones, sludge, Mirizzi syndrome, impacted stone in MDP. Significant differences were found in number of common bile duct stones: 1-2 stones (p<0,001) and multiple stones (p<0,05). Conclusions. Risk factors for bacteriobilia is 1-2 stones in the common bile duct (p<0,001). Multiple stones (≥3) are not associated with bacteriobilia (p<0,05).

Laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II: a simplified standardized technique

2016 ◽  
Vol 30 (12) ◽  
pp. 5635-5646 ◽  
Author(s):  
Shu-Hung Chuang ◽  
Meng-Ching Yeh ◽  
Chien-Jen Chang
Keyword(s):  
Bile Duct ◽  
Mirizzi Syndrome ◽  
Syndrome Type ◽  
Type Ii

scholarly journals Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Hiroyuki Sugo ◽  
Yuuki Sekine ◽  
Naoki Iwanaga ◽  
Shigefumi Neshime ◽  
Michio Machida
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Hepatic Duct ◽  
Filling Defect ◽  
Mirizzi Syndrome ◽  
Common Hepatic Duct ◽  
Gallbladder Stone ◽  
Quadrant Pain ◽  
Abdominal Ct ◽  
The Common

Despite a considerable number of reports of Mirizzi syndrome, none have described the process of its development from simple cholecystolithiasis. We report an extremely rare case of Mirizzi syndrome in which it was possible to observe the process of development of cholecystobiliary fistula from asymptomatic cholecystolithiasis until unavoidable surgical intervention 4 years later. A 68-year-old woman presented at our hospital with right upper quadrant pain. She had been diagnosed as having asymptomatic cholecystolithiasis 4 years previously. Diagnostic abdominal computed tomography (CT) had revealed a 1.9 cm radiopaque stone, and thereafter, the patient had been monitored by imaging alone. CT conducted 6 months before the present admission revealed that the gallbladder stone was compressing the common hepatic duct, although the patient remained asymptomatic. On admission, abdominal CT showed that the gallbladder stone was obstructing the common bile duct with dilatation of the intrahepatic duct. Endoscopic retrograde cholangiopancreatography revealed a round filling defect at the confluence of the common bile duct and the image of the cystic duct; therefore, the patient was categorized as having Mirizzi syndrome type III, according to the Csendes classification. Intraoperative findings revealed a cholecystobiliary fistula involving up to two-thirds of the circumference of the common bile duct.

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