Mirizzi syndrome

  • Common bile duct narrowing and fibrosis due to chronic gallstone disease
  • Stone usually impacted in gall bladder neck, cystic duct or cystic duct remnant
  • Fistula can develop between gall bladder or cystic duct and common duct, stone may partially or totally pass into common duct
  • Stricture commonly in upper and middle common duct
  • Difficult to distinguish obstruction and thickening due to malignancy
  • Cholangiography: smooth stricture, 2-3 cm in length, often with rightward concavity
  • ERCP: best demonstrates fistula
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Choi, Byoung Wook, et al. “Radiologic findings of Mirizzi syndrome with emphasis on MRI.” Yonsei medical journal 41.1 (2000): 144-146.

Chen, Hang, et al. “Current trends in the management of Mirizzi Syndrome: A review of literature.” Medicine 97.4 (2018).