Mirizzi syndrome management

ABSTRACT

The aim of this study was to assess the clinical presentation and management of Mirizzi syndrome. Descriptive study. 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. 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. Mirizzi syndrome is a uncommon presentation of gallstone. Its diagnosis is confirmed on cholangiog raphy and can be treated surgically safely