[Mirizzi syndrome: experience of 77 cases].

Abstract:

:Mirizzi syndrome is estimated to occur in about 1% of cases requiring urgent or elective biliary tract surgery. The key anatomic finding is extrinsic compression of the common duct by a stone located in the gallbladder or cystic duct. Among patients operated on in the last 12 years we have found 77 patients meeting criteria to diagnose Mirizzi syndrome. 76% were females, usually over 40 years of age; jaundice was present in 98% and elevated alkaline phosphatase in 97% of cases. Percutaneous transhepatic cholangiography allowed the diagnosis in 32 of 41 patients. The most common surgical technique involved a patch repair of the gallbladder over the Kehr tube in 45 patients. Eight patients required biliary-jejunal bypass. Eleven patients were reoperated on for benign stenosis of the biliary tract over a 1 month to 10 year period of follow up.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Jiménez O,Palacios JM,Correa R,Rojas M,Lopez O

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

501-7

issue

5

eissn

0034-9887

issn

0717-6163

journal_volume

117

pub_type

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