Type III Mirizzi, successfully treated with a free gallbladder flap, a case report

•Mirizzi Syndrome is a well-recognized syndrome that highlights the infrequent presentations of advanced gallstone disease.•Mirizzi Syndrome is a rare syndrome that can lead to anatomical disturbances and surgical difficulties.•High clinical awareness, an emphasis on the preoperative diagnosis, and...

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Bibliographic Details
Published in:International journal of surgery case reports 2020-01, Vol.76, p.37-40
Main Authors: Moyón C., Miguel A., Molina, Gabriel A., Moyón C., Fernando X., Moyón H., Miguel A., Echegaray, Becquer G., Yunga, Diego R., Basantes, Ligia E., Villacis, Marcelo S.
Format: Article
Language:English
Subjects:
Case Report
Common bile duct
Laparoscopic cholecystectomy
Mirizzi syndrome
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Summary:•Mirizzi Syndrome is a well-recognized syndrome that highlights the infrequent presentations of advanced gallstone disease.•Mirizzi Syndrome is a rare syndrome that can lead to anatomical disturbances and surgical difficulties.•High clinical awareness, an emphasis on the preoperative diagnosis, and safe surgical techniques are vital. Mirizzi syndrome is a type of biliary obstruction caused by an impacted stone in the gallbladder neck or cystic duct that causes and extrinsic obstruction of the common bile duct, this condition if left untreated can lead to duct erosion, fistula, and cholangitis. Preoperative diagnosis is difficult since if not diagnosed correctly can elevate the risk of intraoperative bile duct injury. We present the case of a 61-year-old patient, she presented to our hospital with obstructive jaundice, and a type III Mirizzi syndrome was identified. Preoperative diagnosis was completed, and she was successfully treated using a gallbladder free flap. On follow-ups, the patient is doing well. Mirizzi Syndrome is a rare syndrome that can lead to anatomical disturbances and surgical difficulties due to the hostile territory it creates. High clinical awareness, an emphasis on the preoperative diagnosis, and safe surgical techniques minimizing bile duct injury can improve patients outcome
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2020.09.103