腹腔镜治疗米利兹综合征:病例报告及文献综述

Mounish Raj, Abhijit Joshi
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摘要

米利兹综合征(Mirizzi Syndrome,MS)是一种罕见的疾病,是由于外源性胆道压迫所致。它是胆囊炎和慢性胆石症的一种罕见并发症。胆囊或胆囊管底的结石撞击导致邻近的胆道结构受压,造成肝总管(CHD)完全或次完全阻塞。从而导致肝功能异常。我们在此介绍一例此类病例,患者是一名 50 岁女性,被诊断为多发性硬化症。在腹腔镜手术中,她意外地发现胆囊十二指肠瘘。这两种情况都在腹腔镜下得到了成功治疗。
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Laparoscopic therapy for Mirizzi syndrome: A case report with review of literature
Mirizzi syndrome (MS) is a rare entity and is due to extrinsic biliary compression. It is a rare complication of cholecystitis and chronic cholelithiasis. The impacted calculi at the infundibulum of the gall bladder or cystic duct lead to compression of the adjacent biliary structures, resulting in total or subtotal obstruction of the common hepatic duct (CHD). This leads to liver dysfunction. We, herein, present one such case of a 50-year-old female patient who was diagnosed to have MS. During surgery, at laparoscopy, she was unexpectedly also found to have a cholecysto-duodenal fistula. Both conditions were successfully treated laparoscopically.
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