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Mirizzi 증후군의 임상적 고찰

Other Titles
 Clinical Review of Mirizzi Syndrome 
 안상훈  ;  박승우  ;  정재복  ;  이진헌  ;  이세준  ;  정준표  ;  송시영  ;  강진경 
 Korean Journal of Pancreas and Biliary Tract, Vol.4(1) : 20-27, 1999 
Journal Title
 Korean Journal of Pancreas and Biliary Tract 
Issue Date
Mirizzi syndrome ; Gallstone ; Obstructive jaundice
Background/Aims: The Mirizzi syndrome, which occurs in 0.7-l.4% of patients undergoing cholecystectomy, is an unusual benign obstruction of common hepatic duct resulting from extrinsic compression by a gallstone impacted in either the neck of the gallbladder or the cystic duct. The aim of this study is to investigate the clinical features of Mirizzi syndrome. Methods: From January 1989 to April 1998, among 1,320 patients with gallstone disease, 17 patients were diagnosed as having Mirizzi syndrome at Severance Hospital. Their medical records were reviewed and their clinical, radiological, and surgical features were analysed retrospectively. Results: l. The incidence of Mirizzi syndrome was 1.3% (17/1320). Included patients comprised of 12 males and 5 females, with an average age of 59.0 years (range 3-86). 2. The presenting symptoms were right upper quadrant pain 11 (64.7%), followed by jaundice 9 (52.9%), indigestion 7 (41.2%), nausea 6 (35.3%), fever 2 (11.8%), and pruritus 2 (11.8%). 3. According to the Csendes’ classification, the cases were categorized into type I 12 cases (70.5%), type II 1 case (5.9%), type III 2 cases (11.8%), and type IV 2 cases (11.8%). 4. Open cholecystectomy was applied to nine patients. Three patients who were believed to be unfit for surgery because of high risk were treated by endoscopic approach. There was no procedure-related complication. Conclusion: The Mirizzi syndrome is an unusual complication of gallstone disease. Though accurate diagnosis and cholecystectomy is a rational option, medical treatment can be performed in selected patients who are unfit for surgery.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
Lee, Se Joon(이세준) ORCID logo https://orcid.org/0000-0002-2695-2670
Chung, Jae Bock(정재복)
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