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저위합류 담낭관을 가진 환자에서 잔여 담낭관석에 의해 발생한 Mirizzi syndrome의 내시경적 치료 1예
송치우 ( Chiwoo Song ),손병관 ( Byoung Kwan Son ),최재혁 ( Jea Hyuk Choi ),김동신 ( Dong Shin Kim ),김세종 ( Sae Jong Kim ),민향기 ( Hyang Ki Min ),김상혁 ( Sang Hyuk Kim ),이기영 ( Ki Young Lee ) 대한췌담도학회 2017 대한췌담도학회지 Vol.22 No.1
Mirizzi syndrome is a rare complication, resulting in bile duct obstruction and jaundice that usually arise from impacted gallstone in the cystic duct or neck of the gallbladder. It is vitally important to confirm underlying cystic duct anomaly in Mirizzi syndrome since it can produce surgical difficulty and higher complications. Generally, Mirizzi syndrome is treated surgically while endoscopic treatment is limited. Herein, we present Mirizzi syndrome with low lying cystic duct and remnant cyst duct calculi treated successfully by biliary stent and administration of choleretic agent, following by balloon dilatation on cystic duct and balloon extraction of the stone.