Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

体外衝撃波結石破砕術と内視鏡的乳頭切開術により治癒せしめた胆囊分岐異常を呈した Mirizzi 症候群の一例

Takai, Kenichi
Kunitomi, Mie
Ohta, Sachiko
Matsuoka, Junji
Kurose, Masao
Kojima, Kazushi
Thumnail 108_149.pdf 1.37 MB
Abstract
We report a case of Mirizzi's syndrome managed by extracorporeal shock wave lithotripsy and endoscopic sphincterotomy. An 84-year-old man who was suspected of choledocholithiasis but preferred non surgical treatment was transfered to our hospital. The stone impacted in the dilated cystic duct was removed by endoscopic sphincterotomy after fragmentation by extracorporeal shock wave lithotripsy. Endoscopic retrograde cholangiography revealed that the dilated cystic duct branched into the lower common hepatic duct. Long-term results should be assessed carefully, but extracorporeal shock wave lithotripsy in combination with endoscopic sphincterotomy for Mirizzi's syndrome should be actively attempted because it is a non-invasive and effective technique.
Keywords
Mirizzi 症候群
ESWL
EST
Note
原著
ISSN
0030-1558
NCID
AN00032489