Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature
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 postcholecys...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/1896368 |
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| author | Arpit Amin Yuriy Zhurov George Ibrahim Anthony Maffei Jonathan Giannone Thomas Cerabona Ashutosh Kaul |
| author_facet | Arpit Amin Yuriy Zhurov George Ibrahim Anthony Maffei Jonathan Giannone Thomas Cerabona Ashutosh Kaul |
| author_sort | Arpit Amin |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2f604363ed3345ef982b7524919e9d07 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-2f604363ed3345ef982b7524919e9d072025-02-03T01:30:00ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/18963681896368Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the LiteratureArpit Amin0Yuriy Zhurov1George Ibrahim2Anthony Maffei3Jonathan Giannone4Thomas Cerabona5Ashutosh Kaul6Department of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USADepartment of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USADepartment of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USADepartment of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USADepartment of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USADepartment of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USADepartment of Surgery, New York Medical College-Westchester Medical Center, Valhalla, NY 10595, USAMirizzi 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.http://dx.doi.org/10.1155/2016/1896368 |
| spellingShingle | Arpit Amin Yuriy Zhurov George Ibrahim Anthony Maffei Jonathan Giannone Thomas Cerabona Ashutosh Kaul Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature Case Reports in Surgery |
| title | Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature |
| title_full | Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature |
| title_fullStr | Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature |
| title_full_unstemmed | Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature |
| title_short | Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature |
| title_sort | combined endoscopic and laparoscopic management of postcholecystectomy mirizzi syndrome from a remnant cystic duct stone case report and review of the literature |
| url | http://dx.doi.org/10.1155/2016/1896368 |
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