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| Benign biliary stricture and its rare association–Mirizzi syndrome: A case series and literature review | ||||||
| CS Wong1, AK Al-Ajami2, JM Crotty3, SA Naqvi1 | ||||||
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1Department of Surgery, Limerick University Hospital, Limerick, Co. Limerick, Ireland.
2Royal College of Surgeons in Ireland, Dublin, Ireland. 3Department of Radiology, Limerick University Hospital, Limerick, Co. Limerick, Ireland. | ||||||
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| How to cite this article: |
| Wong CS, Al-Ajami AK, Crotty JM, Naqvi SA. Benign biliary stricture and its rare association-Mirizzi syndrome: A case series and literature review. International Journal of Case Reports and Images 2012;3(10):1–7. |
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Abstract
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Introduction:
Mirizzi syndrome is a rare variant of obstructive jaundice due to extrinsic compression of common bile duct (CBD) or common hepatic duct (CHD) by an impacted gallstone in the infundibulum (Hartmann's pouch) or neck of the gallbladder or in the cystic duct. The diagnosis of this rare condition is important because its presence is associated with an increased risk of bile duct injury when a standard cholecystectomy is carried out.
Case Series: A series of three similar cases of benign bile duct stricture secondary to cholecystolithiasis (Mirizzi syndrome) are reported. Their clinical symptoms, diagnosis and management and outcomes were not identical. Conclusion: To reach the final correct diagnosis of a rare variant of gallstone-related disease is always challenging. Recognition of several different clinical presentations of a same disease is important in order to avoid any complications during an operation. There should be a careful diagnostic approach towards Mirizzi syndrome before laparoscopic cholecystectomy is planned. | |
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Key Words:
Jaundice, Benign bile duct stricture, Mirizzi syndrome, MRCP, ERCP
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Author Contributions:
CS Wong – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published AK Al-Ajami – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published JM Crotty – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published SA Naqvi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© CS Wong et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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