Presentation
Elevated serum bilirubin and abdominal pain
Patient Data
Age: 45 years
Gender: Female
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Dilated intrahepatic biliary radicles, right and left hepatic ducts, and the common hepatic duct down to the signal void stone seen impacted at the cystic duct, causing external compression on the common hepatic duct. Normal caliber of the common bile duct.
Focal thickening of the gallbladder fundus wall with multiple high T2 intramural diverticula.
Intermediate T2 SI mud is seen inside the gallbladder.
Case Discussion
This case is an example of classic Mirizzi syndrome.
The coexistence of adenomyomatosis and Mirrizi syndrome was previously reported 1. However, the exact cause of this association is still unclear.
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