Abstract
Background: Mirizzi syndrome (MS) is a rare complication of chronic gallstone disease, specifically cholecystolithiasis. Diagnosing MS is challenging due to the inflammation that hinders the identification of bile duct complications. Laparoscopic surgery is not recommended due to the risk of intraoperative injuries. Mirizzi syndrome is characterized by an impacted stone at the gallbladder neck that compresses the common hepatic duct and eventually causes ductal erosion. Various imaging modalities facilitate the diagnosis of Mirizzi syndrome.
Objective: This case report aims to highlight the clinical significance of Mirizzi syndrome and the associated diagnostic and surgical challenges.
Methods: A 47-year-old female patient known to have hypertension and dyslipidemia presented with right upper quadrant pain for approximately one year. Diagnostic imaging, including ultrasound (US), magnetic resonance cholangiopancreatography (MRCP), and computed tomography (CT), was conducted.
Results: Imaging findings were consistent with Mirizzi syndrome. Cholecystectomy was done, following conversion from laparoscopic to open surgery. Post-operative recovery was uneventful.
Conclusion: Mirizzi syndrome can present in various ways, making diagnosis challenging. Clinical expertise, appropriate use of radiological modalities, and heightened clinical suspicion are essential to avoid the morbidity associated with Mirizzi syndrome.
First Page
45
Last Page
49
Recommended Citation
Shetewi, Shoaa and Aldusary, Njoud
(2026)
"Mirizzi Syndrome Complicated by Gallbladder Rupture and an Intrahepatic Collection,"
Journal of King Abdulaziz University: Medical Sciences: Vol. 33:
Iss.
1, Article 5.
DOI: https://doi.org/10.64064/1658-4279.1036
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This work is licensed under a Creative Commons Attribution 4.0 International License.
