Fistula Biliar con Síndrome de Mirizzi

Abstract

SUMMARY This study analyzes the clinical case of a patient Fistula Bladder Syndrome Mirizzi, disease, biliary tract is one of the most common diseases in the surgery department, and Mirizzi syndrome is one of the infrequent complications of these pathologies but with timely and appropriate treatment can be prevented. This is a female patient of 22 years who presented to the Emergency “Hospital Provincial Docente Ambato” on several occasions for a month to present epigastric pain radiating to the right upper quadrant where it is treated as a disease peptic acid, the day of admission exacerbated box, characterized by abdominal pain of great intensity that is accompanied by nausea, vomiting arriving food content once. Patient oriented physical painful on palpation examination consents right upper quadrant, abdominal soft depressible. Where it is treated with acid peptic disease diagnosis by not improve the picture communicates surgery which valued decide, request additional examinations and imaging; eco reports cholecystitis - cholelithiasis so their income is decided and surgical treatment is performed to the three patient days jaundice and decided to perform ERCP reporting dilated bile duct 8mm, 5mm choledocholithiasis with calculation. Papillotomy calculation is performed and is removed, after which bile output is displayed in height forming a small cystic bilioma.