What is Mirism's syndrome?

Mirizzi syndrome is a rare complication of gallbladder disease. When Gallstone blocks a conventional liver channel, preventing yellow from draining from the liver, jaundice can develop. Mirizzi syndrome occurs in about 0.1 percent of bile stone patients and can be difficult to diagnose as such without correct imaging tests. If it is not discovered soon, the mini -syndrome may lead to morbidity or death. Dr. Pablo Luis Mirizzi, an Argentine doctor, was the first to describe the syndrome in 1948. This waste is called bile. The bladder is an organ that stores the bile until the body can use it to break fat and cholesterol in the digestive system. When the bile stone blocks the bile drainage into the gall bladder, the bile is then stuck in the liver. The inability of the body to release the bile could lead to serious health conditions due to the accumulation of toxin, and therefore the Can be important to determine the problem.

There must be no consistent or unique clinical presentations that would distinguish mirism syndrome from other more common forms of obstructive jaundice. It can even be misinterpreted as a more serious disease such as pancreatic cancer or cholangiocarcinoma - bile duct cancer. If present, symptoms may include cholecystitis, sudden gallbladder inflammation; jaundice, yellowish coloring of the skin due to the accumulation of dead red blood cells in the body; Or elevated bilirubin levels that can be tested using a blood sample.

If the patient does not respond to the common treatment of bile stone disease, mirizzi syndrome may be suspected. Common initial tests are sonogram, computer axial tomography (CT) scanning and magnetic resonance resonance of cholangiopancreatography (MRCP). Endoscopic retrograde cholangiopancreatography (ERCP), but is usually most effective in diagnosing Mirizzi syndrome and usually offers the most detailed information about blocking and any abnormLitách.

Mirizzi treatment is usually surgical. Usually either gallbladder is removed or conventional bile pipe is reconstructed. Open surgery showed good short -term and long -term results. However, it has been shown that laparoscopic surgery leads to an increase in mortality. Endoscopic treatment can serve as an alternative in high -risk patients, such as elderly or patients with multiple physical diseases.

Further treatment may include ERCP - a procedure that combines endoscopy and fluoroscopy, allowing a highly detailed view of blocking. Lithotrips can also be used, which includes the use of shock waves to release or dissolve stones. The prognosis is often greatly influenced by early diagnosis, although doctors should usually be informed of any recurring or chronic symptoms.