Modified 𝘾𝙨𝙚𝙣𝙙𝙚𝙨 classification of 𝙈𝙞𝙧𝙧𝙞𝙯𝙞 syndrome

-Mirizzi syndrome is subclassified in to 5 types :

🔴𝗜: Is obstruction of the extrahepatic bile duct stone/s in the Hartmann’s pouch or cystic duct.

🔴𝗜𝗜: Is with a cholecystocholedochal fistula (diameter < 1/3 or the common hepatic duct wall).

🔴𝗜𝗜𝗜: Is with a cholecystocholedochal fistula (diameter < 2/3 of the common hepatic duct wall).

🔴𝗜𝗩: Is with a cholecystocholedochal fistula (involving the whole common hepatic duct wall).

🔴𝗩: Any type associated with a cholecystoenteral fistula (i.e,fistula to stomach, duodenum or hepatic flexure or transverse colon). This is sometimes sub-classiied depending on whether gallstone ileus is present or not.

𝙍𝙚𝙛:Difficult Acute Cholecystitis Treatment and Technical Issues,1st ed. 2021© Springer.

#Arrangoiz #Surgeon #CASO #Miami #CenterforAdvancedSurgicalOncology

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