Document Detail


Mirizzi's syndrome: a diagnostic dilemma.
MedLine Citation:
PMID:  19367429     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 62-year-old male presented with a history of upper abdominal discomfort. Past history included asymptomatic gallstones. Abdominal ultrasound and CT demonstrated gallstones within a thick-walled gallbladder, and intra and extrahepatic duct dilatation. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a stricture within the mid-portion of the common bile duct. At laparotomy, a single large stone was found causing external compression of the common bile duct causing a Mirizzi's-type stricture. At repeat ERCP, cholangiogram showed no evidence of stricture. Clinicians should be aware that no definite clinical signs distinguish Mirizzi's syndrome and surgical exploration is often required for diagnosis.
Authors:
I N Masih; R J Moorehead; G R Caddy
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Publication Detail:
Type:  Journal Article     Date:  2009-04-15
Journal Detail:
Title:  Irish journal of medical science     Volume:  180     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-10-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  893-5     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Ulster Hospital, Belfast, UK, izhaq@doctors.net.uk.
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