Mirizzi syndrome mimicking cholangiocarcinoma. Case report
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedad Argentina de Gastroenterología
2020
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| _version_ | 1876481733069635584 |
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| author | Gabriel Lorente Mitsumoto |
| author_facet | Gabriel Lorente Mitsumoto |
| contents | Mirizzi syndrome mimicking cholangiocarcinoma. Case report Gabriel Lorente Mitsumoto Lucas Augusto Monetta da Silva Mauricio Alves Ribeiro Mariana Martins Tocchio Nátalie Emy Yvamoto Talita Di Santi Caroline Petersen da Costa Ferreira Luiz Arnaldo Szutan Medicina Rouxen gallstones Mirizzi syndrome cholangiocarcinoma biliary obstruction Mirizzi syndrome (MS) is a rare condition whose clinical presentation is unspecific, with obstructive jaundice being the most common form. MS is often not recognized at initial presentation, which can result in morbidity and biliary injury. Preoperative diagnosis is uncommon and over 50% of patients with MS are diagnosed during surgery. There are no clinical features to distinguish MS from cholangiocarcinoma, except that patients with cholangiocarcinoma are on average ten years older than patients with MS. We report the case of a 51-year-old female patient who presented with jaundice and weight loss. Following investigation with laboratory and imaging exams, the initial diagnosis was Bismuth II cholangiocarcinoma. The patient underwent surgical intervention, and anatomopathological examination of the specimen showed the correct diagnosis to be MS. Despite the rarity of its incidence, physicians must keep MS in mind as a possible differential diagnosis for cholangiocarcinoma and vice-versa. We discuss this case in the context of a brief review of the literature on Mirizzi syndrome mimicking cholangiocarcinoma. 2020 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199363471021 https://www.redalyc.org/journal/1993/199363471021/ https://www.redalyc.org/journal/1993/199363471021/html/ https://www.redalyc.org/journal/1993/199363471021/199363471021.epub https://www.redalyc.org/journal/1993/199363471021/movil en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.2 Vol.50 |
| format | Artículo científico |
| id | redalyc_199363471021 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Sociedad Argentina de Gastroenterología |
| spellingShingle | Mirizzi syndrome mimicking cholangiocarcinoma. Case report Gabriel Lorente Mitsumoto Medicina Rouxen gallstones Mirizzi syndrome cholangiocarcinoma biliary obstruction Mirizzi syndrome mimicking cholangiocarcinoma. Case report Gabriel Lorente Mitsumoto Lucas Augusto Monetta da Silva Mauricio Alves Ribeiro Mariana Martins Tocchio Nátalie Emy Yvamoto Talita Di Santi Caroline Petersen da Costa Ferreira Luiz Arnaldo Szutan Medicina Rouxen gallstones Mirizzi syndrome cholangiocarcinoma biliary obstruction Mirizzi syndrome (MS) is a rare condition whose clinical presentation is unspecific, with obstructive jaundice being the most common form. MS is often not recognized at initial presentation, which can result in morbidity and biliary injury. Preoperative diagnosis is uncommon and over 50% of patients with MS are diagnosed during surgery. There are no clinical features to distinguish MS from cholangiocarcinoma, except that patients with cholangiocarcinoma are on average ten years older than patients with MS. We report the case of a 51-year-old female patient who presented with jaundice and weight loss. Following investigation with laboratory and imaging exams, the initial diagnosis was Bismuth II cholangiocarcinoma. The patient underwent surgical intervention, and anatomopathological examination of the specimen showed the correct diagnosis to be MS. Despite the rarity of its incidence, physicians must keep MS in mind as a possible differential diagnosis for cholangiocarcinoma and vice-versa. We discuss this case in the context of a brief review of the literature on Mirizzi syndrome mimicking cholangiocarcinoma. 2020 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199363471021 https://www.redalyc.org/journal/1993/199363471021/ https://www.redalyc.org/journal/1993/199363471021/html/ https://www.redalyc.org/journal/1993/199363471021/199363471021.epub https://www.redalyc.org/journal/1993/199363471021/movil en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.2 Vol.50 |
| title | Mirizzi syndrome mimicking cholangiocarcinoma. Case report |
| topic | Medicina Rouxen gallstones Mirizzi syndrome cholangiocarcinoma biliary obstruction |
| url | https://www.redalyc.org/articulo.oa?id=199363471021 https://www.redalyc.org/journal/1993/199363471021/ https://www.redalyc.org/journal/1993/199363471021/html/ https://www.redalyc.org/journal/1993/199363471021/199363471021.epub https://www.redalyc.org/journal/1993/199363471021/movil |