Mirizzi syndrome

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Obstructive jaundice.

Patient Data

Age: 65 years
Gender: Male
ct

Large stone (2 x 1.5 cm) stacked in the gallbladder neck causing compression over the common hepatic duct and resultant intrahepatic biliary ductal dilatation.

The gallbladder is not significantly dilated.

Few small hepatic cysts are seen.

Case Discussion

Impacted large gallbladder neck stone causing extrinsic compression over the common hepatic duct and resultant intrahepatic biliary channel dilatation is diagnostic of Mirizzi syndrome.

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