Mirizzi syndrome management


  • JU R Ashraf




Cholestasis. Cystic Duct. Cholelithiasis. Cholestasis, Extrahepatic. Common Bile Duct Diseases. Retrospective Studies. Cholecystectomy. Cholangiopancreatography, Endoscopic Retrograde. Hepatic Duct, Common.


Objective: The aim of this study was to assess the clinical presentation and management of Mirizzi syndrome. Study Design: Descriptive study. Patients and Methods: During 2 year at Ittefaq Hospital Lahore 10 patients came with Mirizzi syndrome by chance. All patients presented with upper abdominal pain, jaundice and palpable gallbladder. ERCP was inconclusive in 5 patients preoperatively. Rest of 5 patients undergo surgery and on table cholangiogram was performed. Results: All the patients undergo surgery after pre-operative work up. ERCP in 5 patients and peroperative cholangiogram in 5 patients was inconclusive. Nine patients had type-I Mirizzi syndrome and 1 patient had type-II Mirizzi syndrome. Simple cholecystectomy was` performed in 9 patients but in 1 patient (type-II) after cholecystectomy T-tube was placed in common bile duct. Postoperatively T-tbe was removed after T-tube cholangiogram. Conclusion: Mirizzi syndrome is a uncommon presentation of gallstone. Its diagnosis is confirmed on cholangiog raphy and can be treated surgically safely.



How to Cite

Ashraf, J. R. (2016). Mirizzi syndrome management. Annals of King Edward Medical University, 11(4). https://doi.org/10.21649/akemu.v11i4.1087