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KMID : 1035920230260010035
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Journal of Minimally Invasive Surgery
2023 Volume.26 No. 1 p.35 ~ p.39
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Mirizzi syndrome complicated by type IV cholecystobiliary fistula to the right hepatic duct
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Christina M. Stuart
Madeline G. Huey
Christian V. Ghincea
Fredric M. Pieracci
Magdalene Brooke
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Abstract
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Mirizzi syndrome is a rare complication of long-term chronic cholecystitis, characterized by extrinsic compression of the common hepatic duct that may progress to development of cholecystobiliary fistula.
Here we report a case of a 38-year-old female patient who underwent laparoscopic cholecystectomy with intraoperative cholangiogram for acute cholecystitis and choledocholithiasis. Intraoperatively, the patient was found to have a Mirizzi syndrome complicated by cholecystobiliary fistula to the right hepatic duct.
The gallbladder was successfully removed, cholelithiasis cleared and a ureteral stent was used in reconstruction. The patient was discharged on postoperative two and was doing well on routine follow-up.
Ultimately, Mirizzi syndrome is a rare clinical entity that requires careful consideration during preoperative workup and a high suspicion when abnormal anatomy is encountered intraoperatively.
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KEYWORD
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Acute cholecystitis, Choledocholithiasis, Intraoperative cholangiogram, Laparoscopic ultrasound
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