Mirizzi syndrome

Case contributed by Shankar Poudel , 9 Feb 2016
Diagnosis probable
Changed by Mostafa Elfeky, 26 Jan 2023
Disclosures - updated 11 May 2022: Nothing to disclose

Updates to Study Attributes

Findings was changed:

GB wall is mildly thickened with a calculus at neck of gall bladderthe cystic duct causing compression of the common bile duct with consequent minimalmild intrahepatic biliary dilatation (Type-I).

Descent of pelvic floor with inferior displacement of the urinary bladder base and vesicoureteric junctions (cystocele) with mild bilateral hydroureteronephrosis.

Updates to Case Attributes

Body was changed:

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. 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.

  • -<p>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.</p><p>Types of Mirizzi syndrome:</p><p>Type-I: external compression of common bile duct.</p><p>Type-II: cholecysto-biliary fistula is present with erosion of less than one third of the circumference of the bile duct.</p><p>Type-III:cholecysto-biliary fistula involving upto two third of the duct circumference.</p><p>Type-IV: cholecysto-biliary fistula causing complete destruction of bile duct.</p>
  • +<p>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.</p><p>Types of Mirizzi syndrome:</p><p>Type-I: external compression of common bile duct.</p><p>Type-II: cholecysto-biliary fistula is present with erosion of less than one third of the circumference of the bile duct.</p><p>Type-III:cholecysto-biliary fistula involving upto two third of the duct circumference.</p><p>Type-IV: cholecysto-biliary fistula causing complete destruction of bile duct.</p>

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