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NASOGALLBLADDER DRAINAGE FOR MIRIZZI’S SYNDROME
Author(s) -
Arisaka Yoshifumi,
Masuda Daisuke,
Kii Takayuki,
Takii Michiaki,
Katsu KenIchi
Publication year - 2006
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2006.00637.x
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , gallbladder , jaundice , cystic duct , leukocytosis , biliary drainage , surgery , abdominal pain , percutaneous , common bile duct , magnetic resonance cholangiopancreatography , bile duct , pancreatitis
The authors experienced a case of Mirizzi’s syndrome successfully treated with endoscopic nasogallbladder drainage (ENGBD). The patient was a 63‐year‐old man. He was admitted with abdominal pain and jaundice. Laboratory data indicated leukocytosis and elevation of serum bilirubin level. Abdominal ultrasound showed marked swelling of gallbladder and debris in the gallbladder, therefore, the authors strongly suspected Mirizzi’s syndrome. He had past history of acute myocardial infarction and treated with anticoagulation therapy. Then, the authors couldn’t perform surgical removal or percutaneous transhepatic drainage, and tried endoscopic transpapillary drainage. Endoscopic retrograde cholangiopancreatography revealed smooth stricture in the superior portion of common bile duct and occlusion of the cystic duct, and ENGBD was then performed. After ENGBD, his complaints, laboratory data, swelling of gallbladder and stricture of common bile duct were all remarkably improved.