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Create a Free AccountProcedures - Closure of Perforation/Fistula
A purely endoscopic management approach for Type V Mirizzi syndrome
A cholecystocolonic fistula (CCF) is a communication between the gallbladder (GB) and the colon. When it coexists with any type of Mirizzi syndrome (MS), this is referred to as Type V MS.1 When it is symptomatic, surgical treatment with cholecystectomy, fistula takedown, and possible colonic resection is indicated.2,3 The role of treatment in asymptomatic patients is unclear. Endoscopic management has not been described.Percutaneous transhepatic cholangioscopy with electrohydraulic lithotripsy in a patient with choledocholithiasis complicating a benign stricture
An 88-year-old woman with a history of orthotopic liver transplantation 25 years earlier for primary biliary cholangitis presented with jaundice and abdominal pain. Her initial post–liver transplantation course was complicated by choledocholithiasis and recurrent biliary strictures, requiring placement of a metal Wallstent (Boston Scientific, Natick, Mass, USA). She had done well for the previous 2 decades, with good allograft function. On admission, her laboratory results were notable for a bilirubin of 5.4 mg/dL (92 μmol/L) (previously 0.8 mg/dL [14 μmol/L] 4 months prior).
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