Semin intervent Radiol 2016; 33(04): 332-336
DOI: 10.1055/s-0036-1592320
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Delayed Diagnosis of Mirizzi Syndrome

Olufunmilola Oladini
1   Biological Sciences Division, Pritzker School of Medicine, University of Chicago, Chicago, Illinois
,
Steven M. Zangan
2   Department of Radiology, University of Chicago Medical Center, University of Chicago, Chicago, Illinois
,
Rakesh Navuluri
2   Department of Radiology, University of Chicago Medical Center, University of Chicago, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
31 October 2016 (online)

Abstract

Biliary obstruction occurs in a wide variety of malignant and benign conditions. The following is a unique case of biliary obstruction caused by external compression of the hepatic duct by a gallstone (Mirizzi syndrome). Owing to unusual imaging characteristics of the stone, the mass was initially mistaken for a malignancy or hepatic pseudoaneurysm. It was not until the patient developed gallstone ileus that the correct diagnosis was made.

 
  • References

  • 1 Everhart JE, Khare M, Hill M, Maurer KR. Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology 1999; 117 (3) 632-639
  • 2 Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg 2007; 31 (6) 1292-1297
  • 3 Bilhartz MH, Horton JD. Gallstone disease and its complications. In: Feldman M, , ed. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 6th ed. Philadelphia, PA: WB Saunders; 1998: 948-972
  • 4 Shaker R, Dua KS, Koch TR. Gastroenterologic disorders. In: Duthie EH, , ed. Practice of Geriatrics. 3rd ed. Philadelphia, PA: WB Saunders; 1998: 514-515
  • 5 Cotran RS, Kumar V, Robbins SL. The biliary system. In: Schoen FJ, , ed. Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, PA: WB Saunders; 1994: 883-896
  • 6 Vlahcevic ZR, Heuman DM. Diseases of the gallbladder and bile ducts. In: Goldman G, , ed. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders; 2000: 821-833
  • 7 Waisberg J, Corona A, de Abreu IW, Farah JF, Lupinacci RA, Goffi FS. Benign obstruction of the common hepatic duct (Mirizzi syndrome): diagnosis and operative management. Arq Gastroenterol 2005; 42 (1) 13-18
  • 8 Becker CD, Hassler H, Terrier F. Preoperative diagnosis of the Mirizzi syndrome: limitations of sonography and computed tomography. AJR Am J Roentgenol 1984; 143 (3) 591-596
  • 9 Berland LL, Lawson TL, Stanley RJ. CT appearance of Mirizzi syndrome. J Comput Assist Tomogr 1984; 8 (1) 165-166
  • 10 Beltrán MA. Mirizzi syndrome: history, current knowledge and proposal of a simplified classification. World J Gastroenterol 2012; 18 (34) 4639-4650
  • 11 Beltran MA, Csendes A, Cruces KS. The relationship of Mirizzi syndrome and cholecystoenteric fistula: validation of a modified classification. World J Surg 2008; 32 (10) 2237-2243
  • 12 Prasad TL, Kumar A, Sikora SS, Saxena R, Kapoor VK. Mirizzi syndrome and gallbladder cancer. J Hepatobiliary Pancreat Surg 2006; 13 (4) 323-326
  • 13 Ramia JM, Villar J, Muffak K, Mansilla A, Garrote D, Ferron JA. [Mirizzi syndrome and gallbladder cancer]. Cir Esp 2007; 81 (2) 105-106
  • 14 Lai EC, Lau WY. Mirizzi syndrome: history, present and future development. ANZ J Surg 2006; 76 (4) 251-257
  • 15 Kirchmayr W, Mühlmann G, Zitt M, Bodner J, Weiss H, Klaus A. Gallstone ileus: rare and still controversial. ANZ J Surg 2005; 75 (4) 234-238
  • 16 Mirizzi PL. Syndrome del conducto hepatico. J Int Chir 1948; 8: 731
  • 17 Beltran MA, Csendes A. Mirizzi syndrome and gallstone ileus: an unusual presentation of gallstone disease. J Gastrointest Surg 2005; 9 (5) 686-689
  • 18 Aydin U, Yazici P, Ozsan I , et al. Surgical management of Mirizzi syndrome. Turk J Gastroenterol 2008; 19 (4) 258-263
  • 19 Witte CL. Choledochal obstruction by cystic duct stone. Mirizzi's syndrome. Am Surg 1984; 50 (5) 241-243
  • 20 Kok KY, Goh PY, Ngoi SS. Management of Mirizzi's syndrome in the laparoscopic era. Surg Endosc 1998; 12 (10) 1242-1244