Mirizzi Syndrome: A Case Report.

ABSTRACT

Mirizzi syndrome is a seldom-observed complication of gallstone disease, which if not diagnosed hitherto, may cause major biliary problems. It has a prevalence ranging from 0.05% to 2.7% among patients with cholelithiasis and is characterized by mechanical obstruction of the common hepatic duct caused by impaction of stones in the neck of the gallbladder (most frequently in the Hartmann pouch) or cystic duct and presents clinically as intermittent or persistent jaundice. Th is syndrome was described, in 1948, by an Argentinean surgeon Mirizzi. Here, we report the case of a 50-year-old female patient, who presented with acute right upper abdominal pain, predominantly in the epigastria and right subcostal region, which was colicky in nature, nausea, and high-grade fever since 1 day with clinically unremarkable abdominal fi ndings. Abdominal ultrasonography revealed a partially distended gallbladder showing the presence of an intraluminal calculus measuring 1.6 cm × 1.3 cm, impacted at the neck region. Further investigations resulted in the diagnosis of Mirizzi syndrome.