Mirizzi’s syndrome: a diagnostic dilemma
| Autor: | G. R. Caddy, I. N. Masih, R J Moorehead |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Constriction Pathologic Gallstones Asymptomatic Diagnosis Differential Laparotomy medicine Humans Common Bile Duct Mirizzi's syndrome Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry Gallbladder General Medicine Middle Aged Mirizzi Syndrome medicine.disease medicine.anatomical_structure Radiology medicine.symptom business Duct (anatomy) |
| Zdroj: | Irish Journal of Medical Science. 180:893-895 |
| ISSN: | 1863-4362 0021-1265 |
| DOI: | 10.1007/s11845-009-0292-x |
| Popis: | A 62-year-old male presented with a history of upper abdominal discomfort. Past history included asymptomatic gallstones. Abdominal ultrasound and CT demonstrated gallstones within a thick-walled gallbladder, and intra and extrahepatic duct dilatation. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a stricture within the mid-portion of the common bile duct. At laparotomy, a single large stone was found causing external compression of the common bile duct causing a Mirizzi's-type stricture. At repeat ERCP, cholangiogram showed no evidence of stricture. Clinicians should be aware that no definite clinical signs distinguish Mirizzi's syndrome and surgical exploration is often required for diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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