ERCP-A PURELY ENDOSCOPIC MANAGEMENT APPROACH FOR TYPE V MIRIZZI SYNDROME

A PURELY ENDOSCOPIC MANAGEMENT APPROACH FOR TYPE V MIRIZZI SYNDROME

Video Transcription

Video Summary

The video discusses a case of a 94-year-old female with comorbidities who presented with acute kidney injury and later developed fever, abdominal pain, and cholestatic liver enzyme elevation. MRCP revealed large gallstones causing compression of the common bile duct, leading to acute cholangitis. The patient underwent ERCP and cholangioscopy was performed to remove the stones. A cholecystocolonic fistula was also identified and closed using an over-the-scope clip. The patient's symptoms improved following the procedures. The video concludes that although surgery is usually recommended for type 5 Meritzi syndrome, this case demonstrates the safety and efficacy of endoscopic management.

Asset Subtitle

Video Plenary - Authors: Sarah S. Al Ghamdi, Michael Bejjani, Bachir Ghandour, Mouen A. Khashab

Keywords

acute kidney injury

cholestatic liver enzyme elevation

cholecystocolonic fistula

endoscopic management

MRCP