Mirizzi syndrome
Discuss Mirizzi syndrome?
It refers to common hepatic duct obstruction caused by an extrinsic compression from an impacted stone in the cystic duct or Hartmann’s pouch.
It presents with obstructive jaundice, RUQ pain and fever
USS/CT will show gall stones and dilation of the biliary system above the level of gall bladder neck.
ERCP and biliary stenting may be needed in patients with jaundice or cholangitis. Surgery is the mainstay of treatment.
Recognition of Mirizzi syndrome is of particular importance because surgery in its presence is associated with an increased incidence of bile duct injury at surgery; indeed the syndrome has been cited as a trap in the surgery of gallstones.
