- 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
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).