Mirrizzi syndrome

Case contributed by Dr Ayman El-Mesallamy

Presentation

Jaundice and right hypochondrial pain .

Patient Data

Age: 40
Gender: Female
MRI

Distended gallbladder with multiple stones, the largest is seen at the gallbladder neck compressing the corresponding aspect of the common hepatic duct with consequent intra hepatic biliary dilatation. The CBD is not dilated.

Case Discussion

The Mirizzi syndrome refers to an extrinsic compression of a extra-hepatic billiary duct from one or more calculi within the cystic duct or gallbladder. It is a functional hepatic syndrome but can often present with biliary duct dilatation and can mimic other hepatobiliary pathology such as cholangiocarcinoma.

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Case information

rID: 26434
Case created: 21st Dec 2013
Last edited: 18th May 2017
Inclusion in quiz mode: Included

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