MEDizzy
MEDizzy
Dr. Grace
Dr. Grace over 5 years ago

What is mirizzi syndrome? It's s/s, Dx and Rx?

3
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over 5 years ago

Please tell us ma’am

over 5 years ago

It's up on the comment section, dear

over 5 years ago

Practice Essentials Mirizzi syndrome is an unusual presentation of obstructive jaundice caused by extrinsic compression of an extrahepatic biliary duct from one or more calculi within the cystic duct or gallbladder. It is a functional hepatic syndrome but can often present with biliary duct dilatation and can mimic other hepatobiliary pathologies such as cholangiocarcinoma. The clinical presentation varies from no symptoms to severe cholangitis. [1] Patients may present with recurrent episodes of jaundice and cholangitis. It can be associated with acute cholecystitis. Fistulae can develop between the gallbladder and the common duct, and the stone may pass into the common duct. [2]  Generally, distinguishing between Mirizzi syndrome and other causes of obstructive jaundice is not possible with physical examination alone. [3, 4]  

over 5 years ago

Yes, well explained 👍 but to be precise, the calculi is in the Hartmann's pouch not in the gallbladder or cystic duct.

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