Complains of yellowish discolouration of eyes.
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GB wall is mildly thickened with a calculus at neck of gall bladder causing compression of common bile duct with consequent minimal intrahepatic biliary dilatation (Type-I).
Mirizzi syndrome refers to compression of CBD or CHD from one or more calculi at the cystic duct or neck of gall bladder resulting in obstruction and jaundice.It is a functional hepatic syndrome but can often present with biliary duct dilatation and can mimic other hepatobiliary pathology such as cholangiocarcinoma.
Types of Mirizzi syndrome:
Type-I: external compression of common bile duct.
Type-II: cholecysto-biliary fistula is present with erosion of less than one third of the circumference of the bile duct.
Type-III:cholecysto-biliary fistula involving upto two third of the duct circumference.
Type-IV: cholecysto-biliary fistula causing complete destruction of bile duct.