Korean J Pancreas Biliary Tract.  2018 Jul;23(3):134-138. 10.15279/kpba.2018.23.3.134.

Biliary Anastomotic Stricture after Surgical Management of Mirizzi Syndrome: Treated with Long-term Percutaneous Transhepatic Biliary Drainage

  • 1Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 2Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. romario11@hananet.net


Mirizzi syndrome (MS) is a rare complication of cholecystolithiasis that is characterized by obstruction of the common hepatic duct due to mechanical compression by impacted stones in the neck of the gallbladder or the cystic duct. Treatment of MS is surgical, and operative procedure would vary depending on its classification type. Biliary stricture after surgical treatment of MS is an unusual complication and endoscopic approach is not possible for patients who have undergone bilioenteric anastomosis. We report a case of a 60-year-old patient with biliary anastomotic stricture after surgical management of MS who was successfully treated with long-term percutaneous transhepatic biliary drainage.


Mirizzi syndrome; Cholecystectomy; Choledochostomy; Postoperative complications; Radiology; Interventional
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