Mirizzi syndrome is classified into one of four types based on the presence and severity of cholecystobiliary fistulization.
In this disease process, stone burden in the cystic duct or gallbladder neck leads to common hepatic duct obstruction, either by mechanical compression or secondary inflammation. Single-Operator Peroral Cholangioscopy for Extraction of Cystic Duct Stones in Postcholecystectomy Mirizzi Syndromeĭirectory of Open Access Journals (Sweden)įull Text Available Mirizzi syndrome is an exceptionally rare diagnosis with an annual incidence of less than 1% in developed countries. In an appropriate clinical setting, a low EF response to CCK should alert the physician to the presence of either chronic acalculous cholecystitis, CDS, or the combination of both No patient with a partially occluded cystic duct with or without concomitant chronic cholecystitis had an ejection fraction that exceeded 22%. All patients underwent a surgical exploration and all had macro- or microscopically abnormal cystic ducts with (12 patients) or without (2 patients) concomitant chronic cholecystitis. Background corrected gallbladder ejection fractions (GBEFs) were determined every 5 min X 4 by rationing the pre-CCK GB counts minus post-CCK GB counts to pre-CCK GB counts. When the GB maximally filled, 0.02 microgram/kg CCK was administered (3 min) intravenously. Each patient received 5 mCi of technetium-99m disofenin.
None of the patients had an abnormal oral cholecystography, gallbladder (GB) ultrasound exam or upper GI series. All patients presented with persistent postprandial right upper quadrant pain and biliary colic. Rapp, J.įourteen patients with a cystic duct syndrome (CDS) underwent cholecystokinin (CCK) cholescintigraphy. International Nuclear Information System (INIS)įink-Bennett, D. Cholecystokinin cholescintigraphic findings in the cystic duct syndrome
0 kommentar(er)
