Gallbladder wall perforation secondary to empyema in Mirizzi's syndrome: An unseen complication. A case report.
Cholecystolithiasis
Choledocho-colic fistula
Gallbladder empyema
Mirizzi’s syndrome
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
16
04
2020
revised:
09
06
2020
accepted:
09
06
2020
pubmed:
22
6
2020
medline:
22
6
2020
entrez:
22
6
2020
Statut:
ppublish
Résumé
Mirizzi's syndrome is a rare but potential complication of long standing gallstone disease, particularly cholecystolithiasis. Being described is a case of a 42 year old patient who presented with right upper quadrant pain. Initially sent home as the pain settled but was diagnosed as Mirrizi's syndrome on readmission and was managed accordingly. This case report is being presented with the aim of highlighting the importance of Mirizzi's syndrome and the potential consequences it may bear. Due to lack of symptom specificity, this entity remains undiagnosed preoperatively in majority of the cases. Although safe in expert hands, minimally invasive approach (in selected types) can be challenging and bears the risk of bile duct injuries, with a high probability of conversion. Delays in targeted management may lead to dire consequences ranging from empyema gallbladder to gangrene of gall bladder wall, perforation and frank sepsis. A thorough clinical history and physical examination and assessment in light of clinical investigations can lead to a timely diagnosis and management.
Identifiants
pubmed: 32563837
pii: S2210-2612(20)30443-0
doi: 10.1016/j.ijscr.2020.06.040
pmc: PMC7306538
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
438-442Informations de copyright
Copyright © 2020 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.
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