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Monday, 21 December 2020

CASE 600: MIRIZZI SYNDROME, Dr PHAN THANH HẢI, Dr PHAN NGUYỄN THIỆN CHÂU, Dr NGUYỄN NGHIỆP VĂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 Male patient 62yo with RUQ pain for 1 month failed  managed as gastritis. Ultrasound at local hospital detected GB stone so the patient came to MEDIC to reexamination.





Ultrasound at Medic Center detected big GB stone # 24mm and CHB dilatation, thought about GB stone and Mirizzi syndrome.




MSCT confirmed later GB stone in cystic duct and Mirizzi syndrome.





Lab tests CA 19-9=145,5U/mL, Bilirubin raising esp direct bilirubin.



Patient was sent to Binh dan hospital to manage the GB stone.

Bình dan MRI confirmed GB stone and Mirizzi syndrome.




Surgery was done to remove GB stone, cholecystectomy and Kerh drainage for C H D.




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