Mirizzi syndrome

Case contributed by Dr Ayman Elmesalamy


Jaundice and right hypochondrial pain.

Patient Data

Age: 40 years
Gender: Female

Distended gallbladder with multiple stones, the largest is seen at the gallbladder neck compressing the corresponding aspect of the common hepatic duct with consequent intra hepatic biliary dilatation. The CBD is not dilated.

Case Discussion

Mirizzi syndrome refers to extrinsic compression of an extra-hepatic biliary duct from one or more calculi within the cystic duct or gallbladder. It is a functional hepatic syndrome but can often present with biliary duct dilatation and can mimic other hepatobiliary pathologies such as cholangiocarcinoma.

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