Mirizzi syndrome and management

ABSTRACT

The aim of this study is to report the frequency, diagnosis and management of Mirizzi syndrome in our patients' population. A retrospective review of all endoscopic retrograde cholangiography files performed over a 6 year period [1414-1419H] at King Khalid University Hospital. During that period, a total of 1,053 endoscopic retrograde cholangiography procedures were performed. Thirteen patients were found to have Mirizzi syndrome [1.2%]; mean age was 43.3 years. Mirizzi syndrome Type 1 was diagnosed endoscopically in 12 patients while Type two was found in only one patient. Endoscopic management was successful in 2 patients. Open cholecystectomies were performed in 11 patients and laparoscopic cholecystectomies were performed in 2 patients. Mirizzi syndrome is a rare complication of cholelithiasis. Open cholecystectomy is required in the majority of patients