J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1706KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(5): 781-785, 1988

Case report

A CHOLECYSTOLITHIASIS CAUSING THE Mirizzi's SYNDROME WITH A RARE ANOMALY OF THE EXTRAHEPATIC BILE DUCT IN A CHILD REPORT OF A CASE

The 2nd Department of Surgery, Yamagata University School of Medicine, Yamagata, Japan

Kazuya Obata, Masahiro Ohta, Iwao Yamagiwa, Shinichi Naito, Masahiko Washio

A 14 year-old girl, who was admitted to our hospital due to increasing jaundice, intermittent right upper quadrant pain and fever, underwent operation based on the diagnosis of the Mirizzi's syndrome.
Calculi filled the cystic duct and compressed the rigt hepatic duct. The right and left hepatic ducts lay closer to the duodenum than usual.
The operation was limited to cholecystectomy alone. The calculi showed laminar cut surfaces and were composed of bilirubin lime.
In addition to reporting our case, the literature dealing with this particular entity is reviewed.

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