A large common bile duct stone migrated from the gallbladder through a cholecystohepaticodochal fistula: an unusual complication of Mirizzi syndrome type II.
10.3349/ymj.1995.36.2.206
- Author:
Jun Pyo CHUNG
1
;
Hyeon Geun CHO
;
Chae Yoon CHON
;
Hyo Jin PARK
;
Kwan Sik LEE
;
Jin Kyung KANG
;
In Suh PARK
;
Ki Whang KIM
Author Information
1. Department of Internal Medicine, Yong Dong Severacne Hospital, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Mirizzi syndrome type II;
biliobiliary fistula;
bile duct stone
- MeSH:
Aged;
Aged, 80 and over;
Biliary Fistula/*complications;
Case Report;
Cholelithiasis/*complications;
Common Bile Duct Calculi/*etiology;
Common Bile Duct Diseases/*complications;
Female;
Fistula/*complications;
Human;
Liver Diseases/*complications;
Syndrome
- From:Yonsei Medical Journal
1995;36(2):206-213
- CountryRepublic of Korea
- Language:English
-
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.