2021 Volume 35 Issue 1 Pages 106-112
We report one case each of Csendes classification type II and type III Mirizzi syndrome. Case 1 is a 35-year-old woman. The chief complaint is epigastric pain. In the operation, the neck of the gallbladder was cut open in the longitudinal direction toward the dorsal side of the bile duct to remove the stone. At that time, a gallbladder-bile duct fistula was confirmed. The gallbladder neck was then trimmed and the stump closed with a nodular suture. Case 2 is a 75-year-old woman. The chief complaint is jaundice. The patient was diagnosed with Csendes classification type III of Mirizzi syndrome and underwent surgery. After removing the stones at the confluence and the bile duct, the bile duct wall was repaired using the gallbladder neck left in a flap shape, and the T tube was stented and placed. The course was good in both cases without postoperative bile duct stenosis.
