Mirizzi syndrome: on ultrasound

Case contributed by Dr Mohamed Hossam el Deen


Acute onset of RUQ pain with two days of vomiting.

Patient Data

Age: 36
Gender: Male

Marked dilatation of the extra-hepatic billary tree. There is also a large stone located in the Hartman's pouch, with compression of the adjacent CBD.

Biliary sludge with thickened gallbladder wall.

No intrahepatic duct dilatation.

Case Discussion

Isolated dilatation of the extra hepatic CBD with the presence of a large stone in the cystic duct or Hartman's pouch, with a clinical picture of acute cholecystitis, is highly suggestive of Mirizzi syndrome.

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Case information

rID: 47741
Case created: 31st Aug 2016
Last edited: 1st Sep 2016
Inclusion in quiz mode: Included

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