담낭 절제술 후 발생한 미리찌 증후군의 내시경적 치료

• Published in: 대한췌담도학회지 Vol. 19; no. 4; pp. 199 - 203
• Main Authors: 이정민, Jeong Min Lee, 박진석, Jin Seok Park, 정석, Seok Jeong, 이돈행, Don Haeng Lee, 최성환, Seong Huan Choi, 김신일, Shin Il Kim, 김민주, Min Ju Kim, 윤광석, Gwang Seok Yoon
• Format: Journal Article
• Language: Korean
• Published: 대한췌장담도학회 31.10.2014
• Subjects: Cholangiopancreatography; Endoscopic; Lithotripsy; Mirizzi`s syndrome; Retrograde; 내시경역행담췌관조영술; 미리찌 증후군; 쇄석술
• ISSN: 1976-3573

Mirizzi`s syndrome (MS) caused by the retention of a stone in the cystic duct stump after cholecystectomy is rare. Most cases of MS are treated by surgical intervention. However, developments of endoscopic accessories and techniques have resulted in the recent introduction of endoscopic treatments for MS. Furthermore, in view of the postoperative morbidity caused by post-operative scarring, the endoscopic approach should be preferred to the surgical approach. In the described case, the authors were able to remove a remnant cystic duct stone endoscopically because the cystic duct stump was wide and non-tortuous. This case shows endoscopic retrograde cholangiopancreatography with mechanical lithotripsy can be utilized in suitable cases of type I MS development after cholecystectomy. Korean J Pancreatobiliary 2014;19(4):199-203