Download as pptx, pdf, txt or read online from scribd. Microsofts free reader application, or a booksized computer this is used solely as a. In choledochoplasty, we the utilize a pedicled graft of gallbladder remnant in treatment of mirizzis syndrome 8, 9. Cristian roca izurieta no episodios similares en ocasiones anteriores. Mirizzi s syndrome has no consistent or unique clinical features that distinguish it from other more common forms of obstructive jaundice. Mirizzi syndrome, known as extrinsic bile compression syndrome, is a rare complication of cholecystitis and chronic cholelithiasis, secondary to the obliteration of the infundibulum of the gallbladder or cystic duct caused by the impact of one or more calculations in these anatomical structures, which leads to compression of the adjacent bile duct, resulting in partial or complete. The surgical treatment of the mirizzi syndrome requires ability and care in the dissection of the biliary tract in order to perform the cholecystectomy, a safe operation of the biliary tract can be avoided and the removal of the calculus so can avoid any iatrogeny in the biliary tract, as in this particular case, where was opted to dissect the biliary tract incompletely through the torek. Paciente do sexo masculino, 59 anos foi admitido no hospital universitario alcides carneiro apresentando ictericia obstrutiva, dor abdominal, acolia fecal, ascite, coluria e prurido por todo o corpo. Descargue como pdf, txt o lea en linea desde scribd. Pdf mirizzi syndrome is a rare complication of cholelithiasis, characterized by. It is a functional hepatic syndrome but can often present with biliary duct dilatation and can mimic other hepatobiliary pathologies such as cholangiocarcinoma 2. Mirizzi syndrome, known as extrinsic bile compression syndrome, is a rare complication of cholecystitis and chronic cholelithiasis, secondary to the obliteration of the infundibulum of the. Symptoms of recurrent cholangitis, jaundice, right upper quadrant pain, and elevated bilirubin and alkaline phosphatase may or may not be present.
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