Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report
Meng Wang,1 Yufei Xing,2 Quangen Gao,1 Zhiqiang Lv,1 Jianmao Yuan1 1Department of General Surgery, The First People’s Hospital of Wujiang, Affiliated Wujiang Hospital of Nantong University, 2Digestive Clinical Center, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, P...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-07-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/mirizzi-syndrome-with-an-unusual-aberrant-hepatic-duct-fistula-a-case--peer-reviewed-article-IMCRJ |
| _version_ | 1828235307320868864 |
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| author | Wang M Xing YF Gao QG Lv ZQ Yuan JM |
| author_facet | Wang M Xing YF Gao QG Lv ZQ Yuan JM |
| author_sort | Wang M |
| collection | DOAJ |
| description | Meng Wang,1 Yufei Xing,2 Quangen Gao,1 Zhiqiang Lv,1 Jianmao Yuan1 1Department of General Surgery, The First People’s Hospital of Wujiang, Affiliated Wujiang Hospital of Nantong University, 2Digestive Clinical Center, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China Abstract: Mirizzi syndrome (MS) is a rare complication of chronic cholelithiasis, which is always caused by a calculus in the cystic duct or neck of the gallbladder, resulting in mechanical compression of common bile duct and the gallbladder. It is clinically characterized by abdominal pain, fever, as well as obstructive jaundice. During cholecystectomy, MS is seen as a dangerous adherent and inflammatory tissue in the area of Calot’s triangle. In the general population, aberrant right posterior hepatic duct, one of the causes of bile duct injury during duct surgery, is present in 4.8%–8.4% of people. Herein we report a rare case of a 76-year-old female patient, with hepatolithiasis of right posterior lobe and cholecysto-aberrant right posterior hepatic duct fistula. This is a special type of MS; however, interestingly, she did not have any symptoms, and the disease was found by physical examination incidentally. This case highlights another situation, namely, there may be difficulty in diagnosing MS and dissecting for operation. Therefore, to avoid the complication associated with this special situation, the surgeons need to diagnose carefully and adopt an optimal treatment strategy. Keywords: Mirizzi syndrome, aberrant hepatic duct, hepatolithiasis, anatomical hepatectomy |
| first_indexed | 2024-04-12T20:11:09Z |
| format | Article |
| id | doaj.art-1db13afa31d8405ab8e850ed523c1257 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-04-12T20:11:09Z |
| publishDate | 2016-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-1db13afa31d8405ab8e850ed523c12572022-12-22T03:18:14ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2016-07-012016Issue 117317727732Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case reportWang MXing YFGao QGLv ZQYuan JMMeng Wang,1 Yufei Xing,2 Quangen Gao,1 Zhiqiang Lv,1 Jianmao Yuan1 1Department of General Surgery, The First People’s Hospital of Wujiang, Affiliated Wujiang Hospital of Nantong University, 2Digestive Clinical Center, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People’s Republic of China Abstract: Mirizzi syndrome (MS) is a rare complication of chronic cholelithiasis, which is always caused by a calculus in the cystic duct or neck of the gallbladder, resulting in mechanical compression of common bile duct and the gallbladder. It is clinically characterized by abdominal pain, fever, as well as obstructive jaundice. During cholecystectomy, MS is seen as a dangerous adherent and inflammatory tissue in the area of Calot’s triangle. In the general population, aberrant right posterior hepatic duct, one of the causes of bile duct injury during duct surgery, is present in 4.8%–8.4% of people. Herein we report a rare case of a 76-year-old female patient, with hepatolithiasis of right posterior lobe and cholecysto-aberrant right posterior hepatic duct fistula. This is a special type of MS; however, interestingly, she did not have any symptoms, and the disease was found by physical examination incidentally. This case highlights another situation, namely, there may be difficulty in diagnosing MS and dissecting for operation. Therefore, to avoid the complication associated with this special situation, the surgeons need to diagnose carefully and adopt an optimal treatment strategy. Keywords: Mirizzi syndrome, aberrant hepatic duct, hepatolithiasis, anatomical hepatectomyhttps://www.dovepress.com/mirizzi-syndrome-with-an-unusual-aberrant-hepatic-duct-fistula-a-case--peer-reviewed-article-IMCRJMirizzi syndromeAberrant hepatic ductHepatolithiasisAnatomical hepatectomy; |
| spellingShingle | Wang M Xing YF Gao QG Lv ZQ Yuan JM Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report International Medical Case Reports Journal Mirizzi syndrome Aberrant hepatic duct Hepatolithiasis Anatomical hepatectomy; |
| title | Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report |
| title_full | Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report |
| title_fullStr | Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report |
| title_full_unstemmed | Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report |
| title_short | Mirizzi syndrome with an unusual aberrant hepatic duct fistula: a case report |
| title_sort | mirizzi syndrome with an unusual aberrant hepatic duct fistula a case report |
| topic | Mirizzi syndrome Aberrant hepatic duct Hepatolithiasis Anatomical hepatectomy; |
| url | https://www.dovepress.com/mirizzi-syndrome-with-an-unusual-aberrant-hepatic-duct-fistula-a-case--peer-reviewed-article-IMCRJ |
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