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Surg Endosc 2021 Apr 6. Epub 2021 Apr 6.

Surgical Post-Graduate Program, Universidade Federal do Rio Grande do Sul, 2400 Ramiro Barcelos Street, Porto Alegre, 90035-002, Brazil.

Background: Choledocholithiasis is a common complication of cholelithiasis, occurring in up to 18% of patients. Multiple treatments are often performed during the course of the management of choledocholithiasis, sometimes without success. Our study was performed identify the factors predictive of the success of treatment with retrograde endoscopic cholangiopancreatography (ERCP). Read More

BMJ Case Rep 2021 Mar 30;14(3). Epub 2021 Mar 30.

Department of Gastroenterology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan.

A 78 year-old female status post subarachnoid haemorrhage developed abdominal pain and obstructive jaundice. CT scan showed acute cholecystitis and dilation of the intrahepatic ducts. Endoscopic retrograde cholangiography revealed hepatic duct stenosis due to compression by an enlarged gallbladder. Read More

Gastrointest Endosc 2021 Apr 7;93(4):985-987. Epub 2020 Dec 7.

Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.

World J Gastroenterol 2020 Oct;26(40):6241-6249

Department of General Surgery, Linkou Medical Center, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taoyuan 333, Taiwan.

Background: Mirizzi syndrome (MS) is defined as an extrinsic compression of the extrahepatic biliary system by an impacted stone in the gallbladder or the cystic duct leading to obstructive jaundice. Endoscopic retrograde cholangiopancreatography (ERCP) could serve diagnostic and therapeutic purposes in patients with MS in addition to revealing the relationships between the cystic duct, the gallbladder, and the common bile duct (CBD). Cholecystectomy is a challenging procedure for a laparoscopic surgeon in patients with MS, and the presence of a cholecystocholedochal fistula renders preoperative diagnosis important during ERCP. Read More

Gastrointest Endosc 2021 Mar 10;93(3):771-772. Epub 2020 Sep 10.

Insitute of Pathology, Saarbrücken-Rastpfuhl, Saarbrücken, Germany.

Georgian Med News 2020 Jun(303):27-33

State higher education facility "Uzhhorod National University", Ukraine.

The aim of the study was a comparative description of the instrumental methods effectiveness in the preoperative diagnostics of Mirizzi syndrome (MS). Materials and methods. An analysis of the examination and treatment results of the 410 patients with cholelithiasis and suspected according to clinical data Mirizzi syndrome, was carried out for the period of 1997-2019. Read More

ANZ J Surg 2021 01 27;91(1-2):E56-E58. Epub 2020 Jul 27.

Department of HPB Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Case Rep Radiol 2020 27;2020:2049525. Epub 2020 Jan 27.

Department of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan.

Despite a considerable number of reports of Mirizzi syndrome, none have described the process of its development from simple cholecystolithiasis. We report an extremely rare case of Mirizzi syndrome in which it was possible to observe the process of development of cholecystobiliary fistula from asymptomatic cholecystolithiasis until unavoidable surgical intervention 4 years later. A 68-year-old woman presented at our hospital with right upper quadrant pain. Read More

Clin Imaging 2020 Apr 28;60(2):228-236. Epub 2019 Nov 28.

Department of Diagnostic Radiology, Bridgeport Hospital at Yale New Haven Health, 167 Grant St, Bridgeport, CT 06610, USA.

Gallstone disease is the term commonly used to refer to gallstones that cause symptoms. There is a myriad of complications that can arise from gallstones: acute cholecystitis, xanthogranulomatous cholecystitis, emphysematous cholecystitis, gallbladder wall perforations, pericholecystic abscesses, Mirizzi syndrome, cholecystoenteric fistulas, choledocholithiasis, gallstone pancreatitis, porcelain gallbladder, gallbladder malignancies, and many more. The aim of this pictorial review is to revisit how multimodality imaging can help with the diagnosis of gallstone disease. Read More

Int J Surg Case Rep 2019 24;63:97-100. Epub 2019 Sep 24.

Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.

Introduction: Mirizzi syndrome is a rare complication of gallstone disease that more rarely is associated with the formation of cholecystoenteric fistula.

Presentation Of Case: The patient presented with a five-day history of abdominal pain in the right upper quadrant (RUQ), nausea, and emesis. Further ultrasound (US) imaging demonstrated a large gallstone with associated thickened gallbladder with pericholecystic fluid. Read More

Arch Med Sci 2019 Sep 10;15(5):1288-1293. Epub 2019 Aug 10.

Department of Radiology, the Second People's Hospital of Wuxi, Wuxi, Jiangsu, China.

Introduction: The aim was to evaluate the diagnostic value of the Nakagawa and Csendes pathology classification systems in preoperative imaging of Mirizzi syndrome. Mirizzi syndrome is a type of biliary system obstruction caused by stones impacted in a gallbladder neck or cystic duct situated parallel to the common bile duct, causing extrinsic common bile duct stenosis or obstruction, which can lead to recurrent obstructive jaundice, bile duct erosion, and cholangitis. Therefore, the preoperative identification and classification of Mirizzi syndrome is vital for a good surgical result. Read More

G Chir 2019 May-Jun;40(3):193-198

Mirizzi Syndrome (MS) is an uncommon complication of chronic gallstone disease defined as a common bile duct (CBD) obstruction secondary to gallstone impaction in the cystic duct or gallbladder neck. MS is still a challenging clinical situation: preoperative diagnosis of MS is complex and can be made in 18-62.5% of patients. Read More

BMJ Case Rep 2019 Aug 5;12(8). Epub 2019 Aug 5.

Department of Gastrointestinal Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

Postcholecystectomy Mirizzi syndrome (PCMS) is an uncommon entity that can occur due to cystic duct stump calculus, gall bladder remnant calculus or migrated surgical clip. It can be classified into early PCMS or late PCMS. It is often misdiagnosed and the management depends on the site of impaction of stone or clip. Read More

Rev Esp Enferm Dig 2019 Jun;111(6):481-482

Department of Gastroenterology, Braga Hospital, Portugal.

A 64-year-old female presented to the Emergency Department with jaundice, choluria, fever and abdominal pain over the last few days. The abdomen was tender with epigastric pain on palpation. Read More

ANZ J Surg 2020 03 7;90(3):E42-E43. Epub 2019 May 7.

Hepatobiliary Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Khirurgiia (Mosk) 2019 (3):42-47

Martynov Chair of Hospital-Based Surgery #1, Sechenov First Moscow State Medical University of Ministry of Health of Russia Moscow, Russia, Vorokhobov Munitsipal Clinical Hospital #67 of Moscow Healthcare Department, Moscow, Russia.

Aim: To assess an effectiveness of complex preoperative diagnosis, conservative treatment, minimally invasive biliary decompression for Mirizzi syndrome and to analyze surgical outcomes depending on the effectiveness of minimally invasive biliary decompression.

Material And Methods: There were 67 patients with Mirizzi syndrome aged 27-96 years (mean age -64.8 years). Read More

Am J Case Rep 2019 Mar 26;20:394-397. Epub 2019 Mar 26.

Department of Emergency Medicine, Mayo Clinic, Jacksonville, FL, USA.

BACKGROUND Mirizzi syndrome is an uncommon but clinically important complication of gallbladder disease that occurs when there is extrinsic compression of the common hepatic duct from gallstones within the cystic duct or from within the gallbladder itself. Obstructive jaundice and cholangitis may ensue. In severe cases, bile duct erosion or gallbladder rupture occur. Read More

J Gastrointestin Liver Dis 2019 Mar;28(1)

Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital;Humanitas University, Rozzano, Milan, Italy.

Radiologe 2019 Apr;59(4):328-337

Radiologie, KFJ Spital, Wien, Österreich.

Clinical Issue: Due to the high prevalence of clinically suspected cholecystitis or cholecystolithiasis the gallbladder is one of the organs examined the most by imaging.

Standard Radiological Methods: In most clinical settings ultrasound is the primary imaging method because of its wide availability, speed and superior spatial resolution. In cases of ambiguous findings or potential complications computed tomography (CT) and magnetic resonance imaging (MRI) are used. Read More

Asian J Endosc Surg 2019 Apr 13;12(2):227-231. Epub 2018 Dec 13.

Division of Surgery, Gastroenterological Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.

Introduction: A 50-year-old Japanese man presented with obstructive jaundice. We performed endoscopic retrograde biliary drainage before biliary decompression. CT showed a thickened gallbladder wall with low-density areas and a 35-mm gallstone; the stone was impacted in the gallbladder neck and cystic duct. Read More

Rev Esp Enferm Dig 2019 Feb;111(2):121-128

Fourth Surgical Department, Medical School, Aristotle University of Thessaloniki, Thessaloniki , Gre.

Background and study purpose: Hilar cholangiocarcinoma, also known as Altemeier-Klatskin tumor, is a rare malignancy that arises in the confluence of the hepatic ducts of the porta hepatis. The prognosis is rather poor. Several lesions mimic these tumors and lead to a misdiagnosis, resulting in radical hepatic resections. Read More

J Int Med Res 2018 Nov 23;46(11):4806-4812. Epub 2018 Sep 23.

1 Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Huhhot, China PR.

Background: Mirizzi syndrome is a rare complication of chronic cholecystitis, usually caused by gallstones impacted in the cystic duct or the neck of the gallbladder. Mirizzi syndrome results in compression of the hepatic duct or fistula formation between the gallbladder and common bile duct (or hepatic duct, right hepatic duct, or even mutative right posterior hepatic duct). Clinical features include abdominal pain, fever, and obstructive jaundice. Read More

J Gastrointest Cancer 2019 Dec;50(4):997-1000

Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Basni Industrial Area, Phase-II, Jodhpur, Rajasthan, 342005, India.

Can J Gastroenterol Hepatol 2018 12;2018:6962090. Epub 2018 Aug 12.

Department of Surgical Sciences, Hepatobiliary Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University of Sacred Hearth, Rome, Italy.

Background: Mirizzi syndrome is a condition difficult to diagnose and treat, representing a particular "challenge" for the biliary surgeon. The disease can mimic cancer of the gallbladder, causing considerable diagnostic difficulties. Furthermore, it increases the risk of intraoperative biliary injury during cholecystectomy. Read More

Am J Med Sci 2018 10 4;356(4):e33. Epub 2018 May 4.

Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut.

Saudi J Gastroenterol 2018 Sep-Oct;24(5):274-281

Department of Surgical Gastroenterology, Jagjivanram Western Railway Hospital, Mumbai, Maharashtra, India.

Background/aim: Mirizzi's syndrome (MS) is an unusual complication of gallstone disease and occurs in approximately 1% of patients with cholelithiasis. Majority of cases are not identified preoperatively, despite the availability of modern imaging techniques. A preoperative diagnosis can forewarn the operating surgeon and avoid bile duct injuries in cases of complicated cholecystitis. Read More

BMJ Case Rep 2018 Apr 13;2018. Epub 2018 Apr 13.

Department of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada.

We present the case of a young female with symptoms of biliary colic and a biochemical profile consistent with biliary obstruction. Imaging was suspicious for Mirizzi's syndrome. Intraoperatively, the patient was found to have a complete intrahepatic gallbladder causing common hepatic duct compression with final pathology confirming acute cholecystitis. Read More

Dig Surg 2018 30;35(6):491-497. Epub 2017 Nov 30.

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.

Background: Mirizzi syndrome (MS) occurs when gallstone impaction in Hartmann's pouch results in extrinsic obstruction of the common bile duct, and fistulation may occur.

Methods: We retrospectively reviewed electronic records of patients surgically treated for MS from November 2001 to June 2012. Patient presentations, diagnostic methods, treatments and complications were recorded. Read More

Pan Afr Med J 2017 18;27:45. Epub 2017 May 18.

²Service des urgences médico-chirurgicales, Hôpital Militaire Mohamed V, Faculté de médecine et de pharmacie, Rabat, Maroc.

Mirizzi's syndrome is a rare complication of chronic vesicular lithiasis with prevalence ranging from 0.7% to 1.4% among patients who have undergone cholecystectomy. Read More

J Gastroenterol Hepatol 2018 Feb;33(2):335

Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.