Appropriate management of Mirizzi syndrome. Literature review
Mirizzi syndrome is a rare complication of gallstone disease, with an incidence of less than 1% in developed countries. It is characterized by extrinsic compression of the bile duct, produced by pressure applied indirectly by one or more stones embedded in the infundibulum of the gallbladder (Hartma...
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2024-09-01
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Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/45306 |
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author | Jorge Luis Estepa Pérez Paolo Martini Biagio Di Trani Carmeni Picarelli Angela Conti Verónica Crocco |
author_facet | Jorge Luis Estepa Pérez Paolo Martini Biagio Di Trani Carmeni Picarelli Angela Conti Verónica Crocco |
author_sort | Jorge Luis Estepa Pérez |
collection | DOAJ |
description | Mirizzi syndrome is a rare complication of gallstone disease, with an incidence of less than 1% in developed countries. It is characterized by extrinsic compression of the bile duct, produced by pressure applied indirectly by one or more stones embedded in the infundibulum of the gallbladder (Hartmann's pouch); As the inflammatory process progresses, obstruction, necrosis, and even internal biliary fistula may occur. Among the imaging study methods available for diagnosis are abdominal ultrasound, computed axial tomography, cholangioresonance and endoscopic retrograde cholangiography. Clinically, it represents a diagnostic challenge, not only because it is a rare condition, but also because of its non-specific presentation. The most used treatment is surgery, for the resection of the gallbladder and the extraction of the impacted stone, in order to achieve decompression of the bile duct and prevent recurrence. The purpose of this review is based on the need to recognize the existence of this disease, which is rare and sometimes goes unnoticed during the management of a patient with abdominal pain, which explains the high percentage of intraoperative diagnoses, resulting in a more problem for the surgeon |
format | Article |
id | doaj-art-8d3cde273ef34073bf47b9ac504f96b7 |
institution | Kabale University |
issn | 1727-897X |
language | Spanish |
publishDate | 2024-09-01 |
publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
record_format | Article |
series | Medisur |
spelling | doaj-art-8d3cde273ef34073bf47b9ac504f96b72025-01-30T21:29:03ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2024-09-012259769812560Appropriate management of Mirizzi syndrome. Literature reviewJorge Luis Estepa Pérez0Paolo Martini1Biagio Di Trani2Carmeni Picarelli3Angela Conti4Verónica Crocco5Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba.Ospedale San Francesco di Paula. Azcienda Sanitaria Consenza. Región Calabria. Italia.Ospedale San Francesco di Paula. Azcienda Sanitaria Consenza. Región Calabria. Italia.Ospedale San Francesco di Paula. Azcienda Sanitaria Consenza. Región Calabria. Italia.Ospedale San Francesco di Paula. Azcienda Sanitaria Consenza. Región Calabria. Italia.Ospedale San Francesco di Paula. Azcienda Sanitaria Consenza. Región Calabria. Italia.Mirizzi syndrome is a rare complication of gallstone disease, with an incidence of less than 1% in developed countries. It is characterized by extrinsic compression of the bile duct, produced by pressure applied indirectly by one or more stones embedded in the infundibulum of the gallbladder (Hartmann's pouch); As the inflammatory process progresses, obstruction, necrosis, and even internal biliary fistula may occur. Among the imaging study methods available for diagnosis are abdominal ultrasound, computed axial tomography, cholangioresonance and endoscopic retrograde cholangiography. Clinically, it represents a diagnostic challenge, not only because it is a rare condition, but also because of its non-specific presentation. The most used treatment is surgery, for the resection of the gallbladder and the extraction of the impacted stone, in order to achieve decompression of the bile duct and prevent recurrence. The purpose of this review is based on the need to recognize the existence of this disease, which is rare and sometimes goes unnoticed during the management of a patient with abdominal pain, which explains the high percentage of intraoperative diagnoses, resulting in a more problem for the surgeonhttp://medisur.sld.cu/index.php/medisur/article/view/45306síndrome de mirizzicolecistitis agudacolecistectomíalitiasis |
spellingShingle | Jorge Luis Estepa Pérez Paolo Martini Biagio Di Trani Carmeni Picarelli Angela Conti Verónica Crocco Appropriate management of Mirizzi syndrome. Literature review Medisur síndrome de mirizzi colecistitis aguda colecistectomía litiasis |
title | Appropriate management of Mirizzi syndrome. Literature review |
title_full | Appropriate management of Mirizzi syndrome. Literature review |
title_fullStr | Appropriate management of Mirizzi syndrome. Literature review |
title_full_unstemmed | Appropriate management of Mirizzi syndrome. Literature review |
title_short | Appropriate management of Mirizzi syndrome. Literature review |
title_sort | appropriate management of mirizzi syndrome literature review |
topic | síndrome de mirizzi colecistitis aguda colecistectomía litiasis |
url | http://medisur.sld.cu/index.php/medisur/article/view/45306 |
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