We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Mirizzi syndrome Type IV: A rare entity.
- Authors
de Almeida Artifon, Everson Luiz; Sakai, Paulo; Hondo, Fábio Yuji; Noda, Rafael William; Ishioka, Shinichi
- Abstract
Mirizzi's syndrome, characterized by obstructive jaundice due to an extrinsic compression of common hepatic duct by an impacted gallstone in the cystic duct or the neck of the gallbladder, is a rare complication of gallstone disease. The present case describes Mirizzi's syndrome classified as Type IV in a 50-year-old man with obstructive jaundice. Abdominal computed tomography scan demonstrated a dilated intrahepatic biliary tree and a tumoral mass at the porta hepatis, suggesting cholangiocarcinoma. Endoscopic retrograde cholangiopancreatography also suggested cholangiocarcinoma involving the entire circumference of the common hepatic duct in porta hepatis. The diagnosis of Mirizzi's syndrome Type IV was confirmed during cholecystectomy, withdrawal of gallstone and Roux-en-Y hepaticojejunostomy.
- Subjects
OBSTRUCTIVE jaundice; LIVER; MIRIZZI syndrome; GALLBLADDER
- Publication
Digestive Endoscopy, 2003, Vol 15, Issue 4, p344
- ISSN
0915-5635
- Publication type
Article
- DOI
10.1046/j.1443-1661.2003.00268.x