Mirizzi syndrome with an unusual type of biliobiliary fistula鈥攁 case report

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• 作者：Tsutomu Kawaguchi ; Tadao Itoh ; Kazuhiro Yoshii ; Eigo Otsuji
• 关键词：Mirizzi syndrome ; Biliobiliary fistula ; Surgery ; Chronic cholecystitis
• 刊名：Surgical Case Reports
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：1
• 期：1
• 全文大小：2795KB
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• 作者单位：Tsutomu Kawaguchi (1) (2)
  Tadao Itoh (2)
  Kazuhiro Yoshii (2)
  Eigo Otsuji (1)
  
  1. Surgery and Gastroenterological Center, Rakuwakai Marutamachi Hospital, Kyoto, Japan
  2. Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
  
• 刊物类别：Surgery;
• 刊物主题：Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：2198-7793

文摘

Gallstone obstruction of the cystic duct, resulting in chronic cholecystitis and pressure necrosis leads to the formation of biliobiliary fistula (BBF). We herein reported a case of Mirizzi syndrome (MS) with an unusual type of BBF (Corlette type I) that was successfully managed by a staged treatment strategy. The patient was diagnosed with a solitary gallstone, marked atrophy of the gallbladder, and BBF and underwent mucosal incineration of the atrophic gallbladder and simple closure, followed by extirpation of gallbladder. Although an optimal treatment strategy has not yet been established for MS with BBF because of its rarity and anatomical variations in fistulas, the current treatment strategy may be applicable. In conclusion, clinicians need to carefully diagnose and evaluate chronic cholecystitis in MS with BBF and adopt an optimal treatment strategy to avoid the complication associated with this disease. Keywords Mirizzi syndrome Biliobiliary fistula Surgery Chronic cholecystitis