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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Mirizzi's syndrome pathophysiology

Introduction

Overview

Overview

Pathophysiology

Pathophysiology

  • It can be divided into the following types: [1]
  • Type I lesions involve external compression of the common bile duct without any fistula formation.
  • Type II lesions involve cholecystobiliary fistula with erosion of less than one‐third of the circumference of the bile duct.
  • Type III lesions are fistula that involve up to two‐thirds of the duct circumference.
  • Type IV lesions are complete destruction of the bile duct. [2]
  • Type V lesions described in 2008 by Beltran et al are any of the above 4 types plus the formation of cholecystoenteric fistula. [3] [1]
References

References

  1. ↑ 1.0 1.1 Beltrán MA (September 2012). “Mirizzi syndrome: history, current knowledge and proposal of a simplified classification”. World J. Gastroenterol. 18 (34): 4639–50. doi:10.3748/wjg.v18.i34.4639. PMC 3442202. PMID 23002333.
  2. ↑ Csendes A, Díaz JC, Burdiles P, Maluenda F, Nava O (November 1989). “Mirizzi syndrome and cholecystobiliary fistula: a unifying classification”. Br J Surg. 76 (11): 1139–43. doi:10.1002/bjs.1800761110. PMID 2597969.
  3. ↑ Chen H, Siwo EA, Khu M, Tian Y (January 2018). “Current trends in the management of Mirizzi Syndrome: A review of literature”. Medicine (Baltimore). 97 (4): e9691. doi:10.1097/MD.0000000000009691. PMC 5794376. PMID 29369192.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]