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Surg Endosc 2022 Jun 13. Epub 2022 Jun 13.

Department of Anesthesiology, Hsinchu MacKay Memorial Hospital, No.690, Sec. 2, Guangfu Road, Hsinchu City, Taiwan.

Background: We developed laparoscopic transfistulous bile duct exploration (LTBDE) for Mirizzi syndrome (MS) McSherry type II in September 2011. Then, single-incision LTBDE (SILTBDE) was adopted as a preferred technique since August 2013. This retrospective study aims to analyze the outcome of LTBDE in 7. Read More

Am Surg 2022 May 27:31348221105182. Epub 2022 May 27.

Department of Surgery, Division of Laparoendoscopic Surgery, 23214University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA.

Mirizzi syndrome is a rare complication of chronic calculous cholecystitis. Preoperative diagnosis is challenging due to the absence of pathognomonic signs and symptoms and low sensitivity rates of imaging tests. Historically, laparotomy has been the preferred choice of surgical management. Read More

Cureus 2022 Apr 22;14(4):e24379. Epub 2022 Apr 22.

Gastroenterology and Hepatology, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.

Post-cholecystectomy Mirizzi syndrome (PCMS) is characterized by symptoms of recurrent abdominal pain, jaundice, and fever in patients who underwent cholecystectomy. Imaging is crucial in the diagnosis of PCMS and Mirizzi syndrome. Imaging modalities have evolved over the years with abdominal ultrasonography, computed tomography of the abdomen, and magnetic resonance cholangiopancreatography being used in the diagnosis of PCMS and Mirizzi syndrome. Read More

Intern Med 2022 May 14. Epub 2022 May 14.

Department of Internal Medicine, Niigata Prefectural Shibata Hospital, Japan.

A 76-year-old man presented with liver dysfunction and intrahepatic bile duct dilatation. Imaging studies showed two large stones that had become impacted in the common hepatic duct, which was fused with the gallbladder. The patient was diagnosed with Mirizzi syndrome type IV. Read More

World J Gastrointest Surg 2022 Feb;14(2):107-119

Department of Hepatobiliary-Pancreatic-Splenic Surgery, Chengdu First People's Hospital (Chengdu Integrated TCM & Western Medicine Hospital), Chengdu 610044, Sichuan Province, China.

Background: Mirizzi syndrome (MS) remains a challenging biliary disease, and its low rate of preoperative diagnosis should be resolved. Moreover, technological advances have not resulted in decisive improvements in the surgical treatment of MS. Complex bile duct lesions due to MS make surgery difficult, especially when the laparoscopic approach is adopted. Read More

Emerg Radiol 2022 Feb 17;29(1):173-186. Epub 2021 Nov 17.

Div. Emergency and Trauma Imaging, Department of Radiology and Imaging Sciences, Emory University Hospital Midtown, Atlanta, USA.

The purpose of this study is to emphasize the imaging features of complications of gallstones beyond the cystic duct on ultrasound (US), enhanced and nonenhanced computed tomography (CECT and NECT), magnetic resonance imaging (MRI), magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP). This article includes a brief overview of gallstone imaging and emerging trends in the detection of gallstones. This review article will highlight complications of gallstones, including choledocholithiasis, gallstone pancreatitis, acute cholangitis, Mirizzi syndrome, cholecystobiliary and cholecystoenteric fistulas, and gallstone ileus. Read More

ANZ J Surg 2021 07;91(7-8):1634

Department of Hepatobiliary Surgery, Hebei General Hospital, Shijiazhuang, China.

BMC Surg 2021 Aug 5;21(1):318. Epub 2021 Aug 5.

Department of Gastrointestinal Surgery, Shinko Hospital, 1-4-47, Wakinohama-cho, Chuo-ku, Kobe, Hyogo, 6510072, Japan.

Background: Hemobilia refers to bleeding into the biliary tract. Hepatic artery pseudoaneurysm (HAP) rupture is an uncommon cause of hemobilia, and cases of HAP associated with Mirizzi syndrome are extremely rare. Although transarterial embolization is recommended as the first-line treatment for hemobilia, surgery is sometimes required. Read More

J Hepatobiliary Pancreat Sci 2021 Sep 5;28(9):760-769. Epub 2021 Aug 5.

Department of General Surgery, Chang Gung Memorial Hospital, Linkou, Chang Gung University, Taoyuan, Taiwan.

Background: Laparoscopic cholecystectomy (LC) with associated procedures and endoscopic retrograde cholangiopancreatography (ERCP) have been the standard treatments for both common and rare biliary diseases. Mirizzi syndrome (MS) is a rare and complex biliary condition. We report our experience with MS treatment and investigate the value of laparoscopic procedures and ERCP in patient management. Read More

Surg Endosc 2022 03 6;36(3):1838-1846. 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

J Gastrointest Surg 2021 06 10;25(6):1631-1632. Epub 2020 Nov 10.

Department of Surgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, 593 Eddy Street, APC 4, Providence, RI, 02903, USA.

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