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KMID : 0985520170220010046
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Korean Journal of Pancreas and Biliary Tract
2017 Volume.22 No. 1 p.46 ~ p.50
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Endoscopic Treatment of Mirizzi Syndrome in a Patient with Low Lying Cystic Duct and Remnant Cystic Duct Stone
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Song Chi-Woo
Son Byoung-Kwan
Choi Jae-Hyuk
Kim Dong-Shin
Min Hyang-Ki
Kim Sang-Hyuk
Lee Ki-Young
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Abstract
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Mirizzi syndrome is a rare complication, resulting in bile duct obstruction and jaundice that usually arise from impacted gallstone in the cystic duct or neck of the gallbladder. It is vitally important to confirm underlying cystic duct anomaly in Mirizzi syndrome since it can produce surgical difficulty and higher complications. Generally, Mirizzi syndrome is treated surgically while endoscopic treatment is limited. Herein, we present Mirizzi syndrome with low lying cystic duct and remnant cyst duct calculi treated successfully by biliary stent and administration of choleretic agent, following by balloon dilatation on cystic duct and balloon extraction of the stone.
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KEYWORD
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Mirizzi syndrome, Cystic duct, Endoscopic retrograde cholangiopancreatography, Cholangitis
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