TEKRARLAYAN ATEŞ ATAKLARI: MİRİZZİ SENDROMU OLGU SUNUMU

Year 2021, Volume: 23 Issue: 2, 418 - 421, 31.08.2021

Ayşegül Tuna Canver Önal Okan Çalışkan

https://doi.org/10.24938/kutfd.956923

Abstract

Mirizzi syndrome is an unusual complication due to gallstones. Preoperative diagnosis is very important because there is a risk of injury to the inflamed gallbladder and gallbladder duct during surgical treatment of a patient with Mirizzi syndrome. However, preoperative diagnosis is difficult despite modern imaging techniques, since it does not have a pathognomonic image. For this reason, Mirizzi syndrome can often be diagnosed intraoperatively. The treatment is surgery. In this case report, an 85-year-old male patient who was admitted to the hospital due to fever rising with chills is presented. The patient was hospitalized for recurrent episodes of fever. As a result of the development of fever during antibiotic use, magnetic resonance imaging with intravenous contrast was obtained and the patient was diagnosed with Mirizzi syndrome and treated thereafter.

Keywords

mirizzi syndrome, cholecystitis, cholelithiasis

TEKRARLAYAN ATEŞ ATAKLARI: MİRİZZİ SENDROMU OLGU SUNUMU

Abstract

Mirizzi sendromu safra kesesi taşına bağlı gelişen ve nadir görülen bir komplikasyondur. Mirizzi sendromu olan hastanın abdomen cerrahisi sırasında inflame kese ve kese kanalının yaralanma riski olduğu için preoperatif tanı konulması çok önemlidir. Ancak patognomonik görüntüsü olmadığı için, modern görüntüleme tekniklerine rağmen preoperatif tanı konulması zordur. Bu nedenle çoğu zaman intraoperatif tanı koyulur. Tedavisi cerrahidir. Bu yazıda titremeyle yükselen ateş nedeniyle hastaneye başvuran 85 yaşındaki erkek hasta sunulmuştur. Tekrarlayan ateş atakları nedeniyle hastaneye yatırılan hastanın, antibiyotik kullanımı sırasında ateş yüksekliğinin gelişmesi sonucu intravenöz kontrast madde verilerek çekilen magnetik rezonans görüntüleme sonrası hastaya Mirizzi sendromu tanısı konulmuş ve hasta tedavi edilmiştir.

Keywords

mirizzi sendromu, kolesistit, kolelitiazis

References

• 1. Safioleas M, Stamatakos M, Safioleas P, Smyrnis A, Revenas C, Safioleas C. Mirizzi Syndrome: an unexpected problem of cholelithiasis. Out experience with 27 cases. Int Semin Surg Oncol. 2008;5:12-17.
• 2. Alberti-Flor JJ, Iskandarani M, Jeffers L, Schiff ER. Mirizzi syndrome. Am J Gastroenterol. 1985;80(10):822-3.
• 3. Ölmez A, Doğan R, Aydın C, Pişkin T, Kayaalp C. Mirizzi Sendromu Tip 2: Olgu Sunumu. Dicle Tıp Dergisi. 2009;36 (4):314-5.
• 4. Beltran MA, Csendes A, Cruces KS. The relationship of Mirizzi syndrome and cholecystoenteric fistula: validation of a modified classification. World J Surg. 2008;32(10):2237-43.
• 5. Csendes A, Díaz JC, Burdiles P, Maluenda F, Nava O. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg. 1989;76(11):1139-43.
• 6. Pemberton M, Wells AD. The Mirizzi Syndrome. Postgrad Med J. 1997;73(862):487-90.
• 7. Beltran MA. Mirizzi syndrome: history, current knowledge and proposal of a simplified classification. World J Gastroenterol. 2012;18(34):4639-50.
• 8. Lai EC, Lau WY. Mirizzi syndrome: history, present and future development. ANZ J Surg. 2006;76(4):251-7.
• 9. Becker CD, Hassler H, Terrier F. Preoperative diagnosis of the Mirizzi syndrome: limitations of sonography and computed tomography. AJR. 1984;143(3):591-6.
• 10. Reverdito R, Moricz AD, Campos TD, Pacheco AMJ, Silva RA. Mirizzi syndrome grades III and IV: surgical treatment. Rev Col Bras Cir. 2016;43(4):243-7.
• 11. Chen H, Siwo EA, Khu M, Tian Y. Current trends in the management of Mirizzi Syndrome: A review of literature. Medicine (Baltimore). 2018;97(4):e9691.
• 12. Baer HU, Matthews JB, Schweizer WP, Gertsch P, Blumgart LH. Management of the Mirizzi syndrome and the surgical implications of cholecystcholedochal fistula. Br J Surg. 1990; 77:743-5.