Endoscopy 2021; 53(S 01): S212-S213
DOI: 10.1055/s-0041-1724846
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Cholangioscopy With Laser Lithotripsy in the Treatment of a Patient With Type II Mirizzi Syndrome

M Moreira
1   Santa Luzia Hospital - Unidade Local de Saúde Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal
,
J Fernandes
2   Santa Luzia Hospital - Unidade Local de Saúde do Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal
,
T Araújo
1   Santa Luzia Hospital - Unidade Local de Saúde Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal
,
J Canena
3   Professor Doutor Fernando Fonseca Hospital, Department of Gastroenterology, Amadora, Portugal
4   Nova Medical School/Faculty of Medical Sciences, Department of Gastroenterology, Lisbon, Portugal
,
L Lopes
1   Santa Luzia Hospital - Unidade Local de Saúde Alto Minho, Department of Gastroenterology, Viana do Castelo, Portugal
5   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
6   ICVS/3B’s - PT Government Associate Laboratory, Braga, Portugal
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    87 year-old patient with acute colangitis. In ERCP, a 5 mm stenosis was observed in the distal commom bile duct, with upstream dilation. A 12 mm stone appeared to be impacted on the cystic duct. The cholangio-MRI confirmed the diagnosis of Mirizzi syndrome.

    Given the patient’s co-morbidities, it was decided to perform laser lithotripsy. In cholangioscopy, a 20 mm stone impacted on a fistula between the cystic duct and the common hepatic duct was observed. Laser lithotripsy was performed. A fistulous path involving less than one third of the hepatic duct (Mirizzi type II) was evident.

    Citation Moreira M, Fernandes J, Araújo T et al. eP355V CHOLANGIOSCOPY WITH LASER LITHOTRIPSY IN THE TREATMENT OF A PATIENT WITH TYPE II MIRIZZI SYNDROME. Endoscopy 2021; 53: S212.


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    Publication History

    Article published online:
    19 March 2021

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