Mirizzi Syndrome

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What is Mirizzi Syndrome ?  

A rare complication in which a gallstone is impacted in the cystic duct or neck of the gall bladder. This causes compression of the common bile duct or common hepatic duct and results in obstruction of bile and eventually jaundice.


Cause(s) :  Chronic cholecystitis and large gallstones that causes constriction of the common bile duct.

Symptoms :  
  • Obstructive jaundice
  • Recurrent cholangitis
  • Right upper quadrant pain
  • Elevated bilirubin and alkaline phosphatase
  • Pancreatitis
  • Cholecystitis
Diagnosis and Tests :  
  • Ultrasonography of gall bladder
  • MRCP (Magnetic resonance Cholngiopancreatography)
  • CT scan
  • ERCP (Endoscopic rerograde cholangiopancreatography)
Specialist to consult :  Gastroenterology

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