Acute acalculous cholecystitis complicated by MRCP-confirmed Mirizzi syndrome: A case report

Abstract

To the best of our knowledge, this is the first reported case of MRCP-confirmed Mirizzi syndrome in acute acalculous cholecystitis.

Acute acalculous cholecystitis determining Mirizzi syndrome: case report and literature review

“…We have identified only four documented similar cases reported in the literature [ 1 – 4 ]. In three of these cases, compression of the common hepatic/common bile duct by the inflamed gallbladder was confirmed by endoscopic retrograde cholangiopancreatography and patients were subjected to surgery.…”

“…In three of these cases, compression of the common hepatic/common bile duct by the inflamed gallbladder was confirmed by endoscopic retrograde cholangiopancreatography and patients were subjected to surgery. Just in one case the diagnosis of compression of bile duct by the inflamed and enlarged gallbladder was confirmed by MRCP rather than ERCP [ 4 ]. But in this same case surgery was avoided and patient was subjected to a conservative therapy.…”

“…It is interesting to note that the terminology to describe this condition has not been agreed upon [ 4 ]. In Ippolito's paper [ 1 ] he called the condition “Acute acalculous cholecystitis associated with common hepatic duct obstruction: a variant of Mirizzi's syndrome”.…”

“…K. Mergener et al [ 2 ] entitled their article “Pseudo-Mirizzi syndrome in acute cholecystitis”, while S. Ahlawat [ 16 ] used the title – “Acute acalculous cholecystitis simulating Mirizzi syndrome: a very rare condition”. Finally YN Shiryajev et al [ 4 ] in their work speaked about “Acute acalculous cholecystitis complicated by MRCP-confirmed Mirizzi syndrome: A case report”.…”

“…Acute acalculous cholecystitis (AAC) can lead to the development of a condition which is very similar to MS in its clinical course and imaging findings. We were able to identify up to now only four well-documented cases in the literature [ 1 – 4 ]. Although Mirizzi syndrome is widely reported in literature, little is known about acute acalcholous cholecystitis determinig the finding of a MS.…”