Mirizzi Syndrome: The rare but challenging complication where an impacted gallstone in the cystic duct or Hartmann’s pouch causes external compression or fistulization into the common bile duct. The modified Csendes classification grades severity from Type 1 (external compression only) through Type 5 (cholecystobiliary fistula with gallstone ileus). Type 1 shows simple compression without fistula formation. Type 2 involves erosion affecting less than one-third of the bile duct circumference. Type 3 extends to involve one-third to two-thirds of the duct. Type 4 shows complete destruction of the bile duct wall. Type 5 adds the complication of cholecystoenteric fistula with gallstone ileus. Recognition is critical during cholecystectomy as misidentification can lead to bile duct injury. Higher types require bile duct reconstruction
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 