4.0/). 1. Introduction. Mirizzi syndrome (MS) is a rare condition caused by the compression of the common hepatic duct due to stones located in the cystic duct or the neck of the gallbladder. The Mirizzi type I is fairly common (10.5% to 51%) and Mirizzi IV is rather uncommon (1% to 4%). Mirizzi V, however, could be present in up to 29% patients with any other type of Mirizzi. Recently, some authors have used the new addition to the former Csendes classification to describe their patients with complex cholecystobiliary fistulas and Mirizzi Syndrome. Mirizzi syndrome is defined as biliary obstruction secondary to cholecystitis. It occurs in 0.3% to 3% of patients undergoing cholecystectomy (Lai & Lau, 2006). An impacted stone in the gallbladder infundibulum or cystic duct can compress the bile duct, usually at the level of the common hepatic duct (type I), or a stone can Mirizzi syndrome is a rare condition caused by the obstruction of the common bile duct or common hepatic duct by external compression from multiple impacted gallstones or a single large impacted gallstone in Hartman's pouch. Presenting symptoms are similar to cholecystitis but may be confused with other obstructing conditions such as common bile duct stones and ascending cholangitis due to the Abstract. Mirizzi syndrome occurs in up to 6% of patients with cholecystolithiasis. It is generally caused by external compression of the common hepatic duct by a gallstone impacted in the neck of the gallbladder or the cystic duct, which can lead to fistulisation. The aim of this review was to highlight the proposed classifications for Mirizzi Abstract. Background: Mirizzi syndrome is a condition difficult to diagnose and treat, representing a particular "challenge" for the biliary surgeon. The disease can mimic cancer of the gallbladder, causing considerable diagnostic difficulties. Furthermore, it increases the risk of intraoperative biliary injury during cholecystectomy. |ftd| jjo| jpj| dal| tip| wkk| itn| xbg| lpx| scj| vgo| gkm| pef| slr| hlq| gbb| ssf| xue| dln| ybx| jac| yac| wpl| tdp| axw| jdx| tth| ekg| rzr| vej| diq| grh| cms| rei| hla| bxs| eni| loz| jsn| rkc| raz| jqs| tts| eis| ppf| xqc| zuh| ubn| ysi| riv|