Mirizzi综合征误诊一例

病例报告

Mirizzi综合征误诊一例

毕永辉¹^,^†(

), 孙邵伟¹, 林鑫星²

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图1 术前MRCP

图2 第1次ERCP造影

图3 3 ERCP治疗失败后2 d通过留置的鼻胆管行胆总管旋转造影明确显示结石位于胆囊管末端，不在胆总管内

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[3]	Didlake R,Haick AJ. Mirizzi syndrome: an uncommon cause of biliary obstruction[J].Am Surg, 1990, 56(4): 268-269.
[4]	俞海龙,乔昕,乔士兴.腹腔镜下Mirizzi综合征的治疗体会[J]. 临床肝胆病杂志, 2012, 28(2): 114-117.
[5]	Hayek T,Kleinhaus U,Hashmonai N, et al. Preoperative diagnosis of Mirizzi syndrome[J]. Am J Med Sci, 1988, 296(1): 74-75.
[6]	蒋晓忠,赵少勇,朱勇, 等. Mirizzi综合征术中胆道损伤的处理与预防[J]. 肝胆外科杂志, 2013, 21(4): 291-293.
[7]	王一平,尹思能,王征夏, 等. 三镜联合治疗Mirizzi综合征106例[J/CD]. 中华腔镜外科杂志:电子版, 2012, 5(1): 19-21.

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