Mirizzi's syndrome natural history, complications and prognosis: Difference between revisions
Jump to navigation
Jump to search
| (3 intermediate revisions by the same user not shown) | |||
| Line 7: | Line 7: | ||
'''Natural History''' | '''Natural History''' | ||
* | * Mirizzi syndrome frequently presents in an [[acute]] form. However, [[chronic]] form is equally common or an even more common form of presentation. | ||
* | * Clinical presentation of Mirizzi's syndrome could be non-specific. | ||
* | * However, it presents most commonly with [[obstructive jaundice]] (60%-100%), accompanied by [[right upper quadrant]] abdominal pain (50%-100%) and fever. <ref name="pmid23002333">{{cite journal |vauthors=Beltrán MA |title=Mirizzi syndrome: history, current knowledge and proposal of a simplified classification |journal=World J. Gastroenterol. |volume=18 |issue=34 |pages=4639–50 |date=September 2012 |pmid=23002333 |pmc=3442202 |doi=10.3748/wjg.v18.i34.4639 |url=}}</ref> | ||
* | * Patient may be a known or suspected case of [[gallstone]] disease. | ||
* Previous history of jaundice is sometimes present. | |||
* Patients frequently present in the setting of [[acute cholecystitis]], [[acute cholangitis]], [[acute pancreatitis]] or [[gallstone ileus]]. | |||
'''Complications''' | |||
* Cholecystocholedochal [[fistula]] | |||
* [[Cholecystoenteric]] fistula | |||
* Cutaneous fistulas. | |||
* [[Secondary biliary cirrhosis]]. | |||
* Delayed onset [[biliary strictures]]. | |||
* Operative and postoperative morbidity and mortality (according to the severity of lesion). | |||
'''Prognosis''' | |||
* Severe inflammation and delayed or missed diagnosis may result in high [[morbidity]] and mortality. Surgical management is the mainstay treatment. <ref name="pmid29369192">{{cite journal |vauthors=Chen H, Siwo EA, Khu M, Tian Y |title=Current trends in the management of Mirizzi Syndrome: A review of literature |journal=Medicine (Baltimore) |volume=97 |issue=4 |pages=e9691 |date=January 2018 |pmid=29369192 |pmc=5794376 |doi=10.1097/MD.0000000000009691 |url=}}</ref> | |||
==References== | ==References== | ||
Latest revision as of 05:52, 29 July 2020
|
Mirizzi's syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Mirizzi's syndrome natural history, complications and prognosis On the Web |
|
American Roentgen Ray Society Images of Mirizzi's syndrome natural history, complications and prognosis |
|
FDA on Mirizzi's syndrome natural history, complications and prognosis |
|
CDC on Mirizzi's syndrome natural history, complications and prognosis |
|
Mirizzi's syndrome natural history, complications and prognosis in the news |
|
Blogs on Mirizzi's syndrome natural history, complications and prognosis |
Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.
Natural History, Complications and Prognosis
Natural History
- Mirizzi syndrome frequently presents in an acute form. However, chronic form is equally common or an even more common form of presentation.
- Clinical presentation of Mirizzi's syndrome could be non-specific.
- However, it presents most commonly with obstructive jaundice (60%-100%), accompanied by right upper quadrant abdominal pain (50%-100%) and fever. [1]
- Patient may be a known or suspected case of gallstone disease.
- Previous history of jaundice is sometimes present.
- Patients frequently present in the setting of acute cholecystitis, acute cholangitis, acute pancreatitis or gallstone ileus.
Complications
- Cholecystocholedochal fistula
- Cholecystoenteric fistula
- Cutaneous fistulas.
- Secondary biliary cirrhosis.
- Delayed onset biliary strictures.
- Operative and postoperative morbidity and mortality (according to the severity of lesion).
Prognosis
- Severe inflammation and delayed or missed diagnosis may result in high morbidity and mortality. Surgical management is the mainstay treatment. [2]
References
- ↑ Beltrán MA (September 2012). "Mirizzi syndrome: history, current knowledge and proposal of a simplified classification". World J. Gastroenterol. 18 (34): 4639–50. doi:10.3748/wjg.v18.i34.4639. PMC 3442202. PMID 23002333.
- ↑ Chen H, Siwo EA, Khu M, Tian Y (January 2018). "Current trends in the management of Mirizzi Syndrome: A review of literature". Medicine (Baltimore). 97 (4): e9691. doi:10.1097/MD.0000000000009691. PMC 5794376. PMID 29369192.