An Unusual Case of Mirizzi Syndrome With Double Spontaneous Gallbladder Fistulas With the Colon and the Duodenum Presenting As Acute Cholecystitis
Νικόλαος ΠαραράςSurgery, Dr. Sulaiman Al-Habib Medical Group/Alfaisal University, Riyadh, SAUAbdulkarim M AlkadrouPlastic Surgery, AlMaarefa University, Riyadh, SAURahil L SayedRadiology, Dr. Sulaiman Al Habib Medical Group/Alfaisal University, Riyadh, SAUAndreas PikoulisThird Department of Surgery, Attikon University Hospital, National & Kapodistrian University of Athens Medical School, Chaidari-Athens, GRCEmmanouil PikoulisThird Department of Surgery, Attikon University Hospital, National & Kapodistrian University of Athens Medical School, Chaidari-Athens, GRC
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Abstract
The Mirizzi syndrome is amongst the rarest complications of long-standing gallstone disease. It is an even rarer occurrence when concurrent with a cholecystoenteric or cholecystoduodenal fistula and might not include an accompanying gallstone ileus. Chronic cholecystitis is the primary etiology, but pre-operative diagnosis is challenging due to its non-specific symptoms compared with acute cholecystitis. In this unusual case, the patient has a Csendes type Va Mirizzi syndrome associated with a double cholecystoduodenal and cholecystocolonic fistula, a rare presentation.
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