Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Mirizzi syndrome associated with hepatic artery pseudoaneurysm a case report Oliver Anderson Radwane Faroug Brian R Davidson and J Antony Goode Address Royal Free Hospital University College School of Medicine University College London London UK Email Oliver Anderson - Radwane Faroug- avro101@ Brian R Davidson - bdavidso@ J Antony Goode - Corresponding author Published 17 November 2008 Received 4 September 2007 _ r-_n Anno J. .IA I lozmri lormri Accepted 17 November 2008 Journal of Medical Case Reports 2008 2 351 doi l752-l947-2-35l This article is available from http content 2 l 35 l 2008 Anderson et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction This is the first case report of Mirizzi syndrome associated with hepatic artery pseudoaneurysm. Case presentation A 54-year-old man presented with painful obstructive jaundice and weight loss. Computed tomography showed a hilar mass in the liver. Following an episode of haemobilia angiography demonstrated a pseudoaneurysm of a branch of the right hepatic artery that was embolised. At surgery a gallstone causing Mirizzi type II syndrome was found to be responsible for the biliary obstruction and a necrotic inflammatory mass and haematoma were found to be extending into the liver. The mass was debrided and drained the obstructing stones removed and the bile duct drained with a t-tube. The patient made a full recovery. Conclusion This case highlights another situation where there may be difficulty in differentiating Mirizzi syndrome from biliary tract cancer. .
