Korean J Pancreas Biliary Tract.  2018 Jul;23(3):134-138. 10.15279/kpba.2018.23.3.134.

Biliary Anastomotic Stricture after Surgical Management of Mirizzi Syndrome: Treated with Long-term Percutaneous Transhepatic Biliary Drainage

• Ryu H
• Kim JH
• Jeon UB
• Jang JY
• Kim TU
• Yeom JA
• Park C
• Yang KH

• KMID: 2448641
• DOI: http://doi.org/10.15279/kpba.2018.23.3.134

Abstract

Mirizzi syndrome (MS) is a rare complication of cholecystolithiasis that is characterized by obstruction of the common hepatic duct due to mechanical compression by impacted stones in the neck of the gallbladder or the cystic duct. Treatment of MS is surgical, and operative procedure would vary depending on its classification type. Biliary stricture after surgical treatment of MS is an unusual complication and endoscopic approach is not possible for patients who have undergone bilioenteric anastomosis. We report a case of a 60-year-old patient with biliary anastomotic stricture after surgical management of MS who was successfully treated with long-term percutaneous transhepatic biliary drainage.

Keyword

Mirizzi syndrome; Cholecystectomy; Choledochostomy; Postoperative complications; Radiology; Interventional

MeSH Terms

Cholecystectomy
Cholecystolithiasis
Choledochostomy
Classification
Constriction, Pathologic*
Cystic Duct
Drainage*
Gallbladder
Hepatic Duct, Common
Humans
Middle Aged
Mirizzi Syndrome*
Neck
Postoperative Complications
Surgical Procedures, Operative