Mirizzi syndrome type Ⅴa:A rare coexistence of double cholecysto-biliary and cholecysto-enteric fistulae  

作　　者：Pavlos Lampropoulos Nikolaos Paschalidis Athanasios Marinis Spiros Rizos 

机构地区：[1]First Department of Surgery,Tzaneio General Hospital

出　　处：《World Journal of Radiology》2010年第10期410-413,共4页世界放射学杂志（英文版）（电子版）

摘　　要：Mirizzi syndrome is a rare cause of intermittent obstructive jaundice,where an impacted stone in the cystic duct or Hartmann's pouch mechanically obstructs the common bile duct(CBD) .We report a rare case of double cholecysto-biliary and cholecysto-enteric fistulae,in a 75-year-old female patient,presenting with a right upper quadrant abdominal pain and intermittent obstructive jaundice.Endoscopic retrograde cholangiopancreatography suggested Mirizzi syndrome.Operative findings included erosions of the lateral wall of the CBD and the second portion of the duodenum due to impacted gallstones.The defects were reconstructed primarily and a Kehr tube was inserted.The patient had an uneventful postoperative course and was discharged on the 14th postoperative day.Mirizzi syndrome is a rare cause of intermittent obstructive jaundice,where an impacted stone in the cystic duct or Hartmann's pouch mechanically obstructs the common bile duct(CBD) .We report a rare case of double cholecysto-biliary and cholecysto-enteric fistulae,in a 75-year-old female patient,presenting with a right upper quadrant abdominal pain and intermittent obstructive jaundice.Endoscopic retrograde cholangiopancreatography suggested Mirizzi syndrome.Operative findings included erosions of the lateral wall of the CBD and the second portion of the duodenum due to impacted gallstones.The defects were reconstructed primarily and a Kehr tube was inserted.The patient had an uneventful postoperative course and was discharged on the 14th postoperative day.

关 键 词：MIRIZZI syndrome Obstructive JAUNDICE GALLSTONE Cholecysto-enteric fistula Endoscopic retrograde CHOLANGIOPANCREATOGRAPHY 

分 类 号：R657.4[医药卫生—外科学]