Mirizzi's syndrome overview: Difference between revisions
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Mirizzi’s syndrome is an uncommon clinical condition caused by the compression of [[common hepatic duct]] due to impaction of [[gallstone]] in the [[cystic duct]] or neck of the [[gallbladder]]. This results in acquired [[obstructive jaundice]], which could be due to direct extrinsic compression of the [[ bile duct]] or [[fibrosis]] caused by chronic [[cholecystitis]] ([[inflammation]]). The chronic inflammation and [[ulceration]] may also result in [[cholecystobiliary]] [[fistula]] or [[cholecystoenteric]] fistula. | Mirizzi’s syndrome is an uncommon clinical condition caused by the compression of [[common hepatic duct]] due to impaction of [[gallstone]] in the [[cystic duct]] or neck of the [[gallbladder]]. This results in acquired [[obstructive jaundice]], which could be due to direct extrinsic compression of the [[ bile duct]] or [[fibrosis]] caused by chronic [[cholecystitis]] ([[inflammation]]). The chronic inflammation and [[ulceration]] may also result in [[cholecystobiliary]] [[fistula]] or [[cholecystoenteric]] fistula. | ||
[[ERCP]] is the gold standard for diagnosis, however, [[ultrasonography]], [[CT scan]] and [[MRCP]] are commonly done. Surgical management is the mainstay treatment for Mirizzi's syndrome. | [[ERCP]] is the gold standard for diagnosis, however, [[ultrasonography]], [[CT scan]] and [[MRCP]] are commonly done. Surgical management is the mainstay treatment for Mirizzi's syndrome. | ||
==Historical Perspective== | |||
==Classification== | |||
==Pathophysiology== | |||
==Causes== | |||
==Differentiating Xyz from Other Diseases== | |||
==Epidemiology and Demographics== | |||
==Risk Factors== | |||
==Screening== | |||
==Natural History, Complications, and Prognosis== | |||
==Diagnosis== | |||
===Diagnostic Study of Choice=== | |||
===History and Symptoms=== | |||
===Physical Examination=== | |||
===Laboratory Findings=== | |||
===Electrocardiogram=== | |||
===X-ray=== | |||
===Echocardiography and Ultrasound=== | |||
===CT scan=== | |||
===MRI=== | |||
===Other Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | |||
===Medical Therapy=== | |||
=== Interventions === | |||
===Surgery=== | |||
===Primary Prevention=== | |||
===Secondary Prevention=== | |||
==References== | |||
{{reflist|2}} | |||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category: (name of the system)]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 05:15, 7 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Mirizzi’s syndrome is an uncommon clinical condition caused by the compression of common hepatic duct due to impaction of gallstone in the cystic duct or neck of the gallbladder. This results in acquired obstructive jaundice, which could be due to direct extrinsic compression of the bile duct or fibrosis caused by chronic cholecystitis (inflammation). The chronic inflammation and ulceration may also result in cholecystobiliary fistula or cholecystoenteric fistula. ERCP is the gold standard for diagnosis, however, ultrasonography, CT scan and MRCP are commonly done. Surgical management is the mainstay treatment for Mirizzi's syndrome.
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Xyz from Other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
References