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Int Semin Surg Oncol. 2008 May 21;5:12. doi: 10.1186/1477-7800-5-12.

Mirizzi Syndrome: an unexpected problem of cholelithiasis. Our experience with 27 cases.

International seminars in surgical oncology : ISSO

Michael Safioleas, Michael Stamatakos, Panagiotis Safioleas, Anastasios Smyrnis, Constantinos Revenas, Constantinos Safioleas

Affiliations

  1. 2nd Department of Propaedeutic Surgery, Medical School, University of Athens, Laiko General Hospital, Athens, Greece. [email protected].

PMID: 18495037 PMCID: PMC2413250 DOI: 10.1186/1477-7800-5-12

Abstract

PURPOSE: Mirizzi syndrome is a rare complication of long standing cholelithiasis. The purpose of this study is to retrospectively estimate the diagnostic and treatment methods applied in patients with Mirizzi syndrome.

MATERIALS AND METHODS: Our experience with 27 cases with Mirizzi syndrome is presented. They were diagnosed either by imaging techniques, or during surgical operation. All of the patients were managed surgically.

RESULTS: 8 patients were diagnosed preoperatively and the rest intraoperatively. Morbidity rate after surgery was 18,5%, and mortality rate was zero. The patients presented free of symptoms three months after surgery during the follow-up.

CONCLUSION: Mirizzi syndrome is rarely diagnosed preoperatively and US proved inadequate for this purpose. Surgery is the only therapy and usually provides additionally definitive diagnosis.

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