Korean J Pancreas Biliary Tract.  2017 Jan;22(1):46-50. 10.15279/kpba.2017.22.1.46.

Endoscopic Treatment of Mirizzi Syndrome in a Patient with Low Lying Cystic Duct and Remnant Cystic Duct Stone

• Song C
• Son BK
• Choi JH
• Kim DS
• Kim SJ
• Min HK
• Kim SH
• Lee KY

• KMID: 2448593
• DOI: http://doi.org/10.15279/kpba.2017.22.1.46

Abstract

Mirizzi syndrome is a rare complication, resulting in bile duct obstruction and jaundice that usually arise from impacted gallstone in the cystic duct or neck of the gallbladder. It is vitally important to confirm underlying cystic duct anomaly in Mirizzi syndrome since it can produce surgical difficulty and higher complications. Generally, Mirizzi syndrome is treated surgically while endoscopic treatment is limited. Herein, we present Mirizzi syndrome with low lying cystic duct and remnant cyst duct calculi treated successfully by biliary stent and administration of choleretic agent, following by balloon dilatation on cystic duct and balloon extraction of the stone.

Keyword

Mirizzi syndrome; Cystic duct; Endoscopic retrograde cholangiopancreatography; Cholangitis

MeSH Terms

Calculi
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis
Cholestasis
Cystic Duct*
Deception*
Dilatation
Gallbladder
Gallstones
Humans
Jaundice
Mirizzi Syndrome*
Neck
Stents