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KMID : 0870420000040010179
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2000 Volume.4 No. 1 p.179 ~ p.183
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Two cases of Mirizzi syndrome
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Yeon Hyeon-Cheol
Kim Joo-Seop
Lee Young-Cheol
Lee Sam-Uel
Park Chul-Jae
Kim Soo-Tae
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Abstract
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Impaction of a gallstone in the cystic duct or neck of the gallbladder can cause partial hepatic duct obstruction. Mirizzi originally described the syndrome of obstructive jaundice presented in the patient with gallstone in 1948. Cholecystobiliary fistula is a complicated form of Mirizzi syndrome in longstanding cholecystitis. A 70 year-old female was admitted due to jaundice. On laparotomy, the right heaptic duct was compressed by distended gallbladder. The other 60 year-old male patient was referred with jaundice. The patient underwent laparoscopic cholecystectomy two years ago. A large stone was migrated from remnant cystic duct through a cholecystocholedochal fistula. We report two cases of Mirizzi syndrome with a review of literature.
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KEYWORD
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Mirizzi syndrome, Cholecystobiliary fistula
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