Mirizzi syndrome
Overview
Mirizzi's syndrome is a rare cause of acquired jaundice. It is caused by chronic cholecystitis and large gallstones resulting in stenosis of the common bile duct. Occurs in approximately 0.1% of patients with gallstone disease[1] and 0.7-1.4% of patients undergoing cholecystectomy[2] It affects males and females equally, but tends to affect older people more often. There is no evidence of race having any bearing on the epidemiology.
Diagnosis
CT scan or ultrasonography usually make the diagnosis. Often, ERCP is used to define the lesion anatomically prior to surgery.
Treatment
The treatment of choice is surgical excision of the gallbladder, and reconstruction of the common hepatic duct and common bile duct.