Mirizziの症候群：腫瘍性胆嚢摘出術の禁忌

その後の炎症と浮腫を伴う嚢胞性管の衝撃を受けた胆石は、閉塞性黄undを伴う一般的な胆汁または一般的な肝管の外因性圧縮をもたらします。胆石症の珍しい合併症であるミリッツィ症候群は、肝外胆道閉塞を患っている患者の鑑別診断に含めるべきです。Mirizziの症候群の術前診断に基づいて、子co鏡の胆嚢摘出術ではなく開いた患者の症例を提示します。そのような患者に対する学際的なアプローチは、オープンと内視鏡の胆嚢摘出術の間の決定を促進します。ミリジ症候群は、内視鏡胆嚢摘出術の禁忌を表している可能性があります。

An impacted gallstone in the cystic duct with subsequent inflammation and edema resulting in extrinsic compression of the common bile or common hepatic duct with obstructive jaundice is known as Mirizzi's syndrome. An uncommon complication of cholelithiasis, Mirizzi's syndrome should be included in the differential diagnosis of any patient who has extrahepatic biliary obstruction. We present a case of a patient who underwent open rather than coelioscopic cholecystectomy based upon the preoperative diagnosis of Mirizzi's syndrome. A multidisciplinary approach to such patients facilitates the decision between open and endoscopic cholecystectomy. Mirizzi's syndrome may represent a contraindication to endoscopic cholecystectomy.