GALLSTONE DISEASE COMPLICATED WITH MIRIZZI SYNDROME A CLINICAl CASE

Abstract

This article represents the difficulties in diagnosing and treating the patients with gallstone disease complicated by Mirizzi syndrome and obstructive jaundice. The manifestation of the disease is characterized by many clinical, laboratory and instrumental symptoms found in acute and chronic cholecystitis. Among them, it is worth noting pain in the right subcostal region, the jaundice, increased body temperature and symptoms revealed during ultrasound. However, in some patients, the disease is asymptomatic and its first manifestation may be obstructive jaundice. Because of the presence of gallstones and jaundice, they are often confused with other obstructive conditions. Preoperative diagnosis is complex and often overlooked. The difficulties in diagnosing Mirizzi syndrome, the high risk of damage to the biliary tract, as well as the wide spectrum of surgical treatment determine the relevance of this study. A literature review has been made on the topic with the clinical situation analyzed. A 62-year-old patient was admitted with a diagnosis of biliary tract obstruction. The patient was diagnosed with gallstone disease. As a result, gallstone disease complicated by Mirizzi syndrome was diagnosed and surgical treatment was performed.