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DOI: 10.1055/s-0041-1724846
Cholangioscopy With Laser Lithotripsy in the Treatment of a Patient With Type II Mirizzi Syndrome
87 year-old patient with acute colangitis. In ERCP, a 5 mm stenosis was observed in the distal commom bile duct, with upstream dilation. A 12 mm stone appeared to be impacted on the cystic duct. The cholangio-MRI confirmed the diagnosis of Mirizzi syndrome.
Given the patient’s co-morbidities, it was decided to perform laser lithotripsy. In cholangioscopy, a 20 mm stone impacted on a fistula between the cystic duct and the common hepatic duct was observed. Laser lithotripsy was performed. A fistulous path involving less than one third of the hepatic duct (Mirizzi type II) was evident.
Citation Moreira M, Fernandes J, Araújo T et al. eP355V CHOLANGIOSCOPY WITH LASER LITHOTRIPSY IN THE TREATMENT OF A PATIENT WITH TYPE II MIRIZZI SYNDROME. Endoscopy 2021; 53: S212.
Publication History
Article published online:
19 March 2021
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