Presentation
Recurrent episodes of right upper abdominal pain and jaundice
Patient Data
Age: 55 years
Gender: Male
From the case:
Mirizzi syndrome
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An impacted gallbladder neck calculus measuring 2.2cm is noted causing extrinsic mass effect on the proximal common hepatic duct and resulting in upstream dilatation of the intra-hepatic bile ducts and biliary radicals. The common bile duct has a normal caliber. The rest of the gallbladder shows features of chronic cholecystitis.
Case Discussion
This constitutes to type Ia Mirizzi syndrome according to Csendes classification.
Patient underwent successful subtotal cholecystectomy and removal of obstructing stone.
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