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2011, Número 1
Objective: : to evaluate the epidemiology and outcomes of surgical treatment of patients with Mirizzi Syndrome MS grades III and IV, the most advanced according to Csendes classification. Methods: : we conducted a retrospective, cross-sectional study by reviewing records of thirteen patients with grades III and IV MS operated from December to September , among the 3, cholecystectomies performed in the period. Results: : the incidence of MS was 0. There was a predominance of type IV 12 cases. The preoperative diagnosis was possible in
Mirizzi Syndrome Grades III and IV: Surgical Treatment
It is seen with significant frequency in childhood, with a higher prevalence in females, and a greater diagnostic incidence in Asia. Diagnosis is primarily based on clinical suspicion. Its symptoms are variable, and its treatment, depending on the type, is surgical. Case report: a male patient, 46 years old, with clinical symptoms of acute pancreatitis as a complication of a choledochal cyst Todani type II is diagnosed during his hospital stay with cholangial magnetic resonance. The patient recovers from the acute episode and undergoes a cystectomy with biliodigestive liver-jejunum bypass and a Roux-Y anastomosis. Keywords: Roux-en-Y anastomosis; type II choledochal cyst.