Mirizzi syndrome

Case contributed by Dr Shankar Poudel

Presentation

Complains of yellowish discolouration of eyes.

Patient Data

Age: 50
Gender: Female
Modality: CT

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).

Case Discussion

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.

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Case Information

rID: 42819
Case created: 9th Feb 2016
Last edited: 14th Feb 2016
Inclusion in quiz mode: Included

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