Yonsei Med J.
1995 Apr;36(2):206-213. 10.3349/ymj.1995.36.2.206.
A large common bile duct stone migrated from the gallbladder through a cholecystohepaticodochal fistula: an unusual complication of Mirizzi syndrome type II
- Affiliations
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- 1Department of Internal Medicine, Yong Dong Severacne Hospital, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 699826
- DOI: http://doi.org/10.3349/ymj.1995.36.2.206
Abstract
- Mirizzi syndrome with a biliobiliary fistula (Mirizzi syndrome type II) is a rare complication of a long-standing gallbladder stone disease. It is even rarer for a gallbladder stone to migrate through a biliobiliary fistula into the common duct. We encountered this interesting complication of Mirizzi syndrome type II in an 86 year-old female patient. A large gallbladder stone migrated into, and impacted into the distal common bile duct through a cholecystohepaticodochal fistula. The stone was resistant to mechanical lithotripsy and was treated with biliary endoprosthesis and oral bile acids.
