MIRIZZI SYNDROME WITH A STRICTURE OF THE RIGHT HEPATIC DUCT -A CASE REPORT-
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概要
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We present a case of Mirizzi syndrome causing a stricture located in only the right hepatic duct without any symptoms. A 70-year-old man who had an asymptomatic cholelithiasis was admitted to the hospital, because dilatation of the right intrahepatic duct was detected by abdominal ultrasonography that was performed to examine liver dysfunction in detail. Computed tomography showed a thickened gallbladder with an impacted stone in its neck. The stricture of the right hepatic duct was then revealed by MRI and PTC, suggesting Mirizzi syndrome as a diagnosis. Cholecystectomy and choledochostomy with a T-tube were carried out. Inflammation and direct pressure of the impacted stone in the neck of the gallbladder caused the stricutre of the right hepatic duct. The findings indicated it in type I Mirizzi syndrome of McSherry's classification. Mirizzi syndrome causing a stricture localized in the right hepatic duct is uncommon, but the possibility must be entertained that malignant diseases of the biliary system may include asymptomatic Mirizzi syndrome like this case.
- 日本臨床外科学会の論文
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