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

• 作者: Athanasios Marinis Nikolaos Paschalidis Pavlos Lampropoulos Spiros Rizos
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: MIRIZZI syndrome Obstructive JAUNDICE GALLSTONE Cholecysto-enteric fistula Endoscopic retrograde CHOLANGIOPANCREATOGRAPHY
• 年，卷（期）: 2010,（10）
• 页码范围: 410-413
• 页数: 4页
• 分类号: R657.4

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.