Korean J Hepatobiliary Pancreat Surg.  2000 Feb;4(1):179-183.

Two cases of Mirizzi syndrome

Affiliations
  • 1Department of Surgery, College of Medicine, Hallym University, Korea.

Abstract

Impaction of a gallstone in the cystic duct or neck of the gallbladder can cause partial hepatic duct obstruction. Mirizzi originally described the syndrome of obstructive jaundice presented in the patient with gallstone in 1948. Cholecystobiliary fistula is a complicated form of Mirizzi syndrome in longstanding cholecystitis. A 70 year-old female was admitted due to jaundice. On laparotomy, the right heaptic duct was compressed by distended gallbladder. The other 60 year-old male patient was referred with jaundice. The patient underwent laparoscopic cholecystectomy two years ago. A large stone was migrated from remnant cystic duct through a cholecystocholedochal fistula. We report two cases of Mirizzi syndrome with a review of literature.

Keyword

Mirizzi syndrome; Cholecystobiliary fistula

MeSH Terms

Aged
Cholecystectomy, Laparoscopic
Cholecystitis
Cystic Duct
Female
Fistula
Gallbladder
Gallstones
Hepatic Duct, Common
Humans
Jaundice
Jaundice, Obstructive
Laparotomy
Male
Middle Aged
Mirizzi Syndrome*
Neck
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