Abstract

PEREIRA-GRATEROL, Freddy; SALAZAR-MARCANO, Francisco  and  VENALES-BARRIOS, Yajaira. Mirizzi syndrome simulating a biliary malignant neoplasm. rev. colomb. cir. [online]. 2020, vol.35, n.3, pp.507-513.  Epub Feb 09, 2021. ISSN 2011-7582.  https://doi.org/10.30944/20117582.730.

Mirizzi syndrome can occur with clinical manifestations and imaging and laboratory findings, similar to those found in malignant biliary neoplasms. We describe the case of a patient whose initial clinical approach and imaging studies provided data suggestive of bile duct neoplasia. Tumor markers (CA 19-9, CEA) were high. A new clinical evaluation, an explorative laparoscopy and endoscopic bile duct exploration allowed establish the diagnosis of Mirizzi syndrome. After removal the bile duct stone and to perform an hepaticojejunostomy the patient remained asymptomatic. In this case the clinical reevaluation and the use of the appropriate study protocol contributed to guide and confirm the diagnosis of Mirizzi syndrome, which determined the most successful therapeutic approach.

Keywords : Mirizzi Syndrome; common bile duct; jaundice, obstructive; neoplasms; cholangiopancreatography endoscopic retrograde; minimally invasive surgical procedures.

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