Mirizzi syndrome

Abstract

In recent years there have been several case reports of patients suffering from the so‐called Mirizzi syndrome. Personal experience with 5 patients, together with published data from 19 others, is used to consider whether this syndrome is a true entity. It is concluded that the involvement of the hepatic duct in gallstone disease may result in a wide range of lesions of differing severity with no common pattern. Consequently, the term “Mirizzi syndrome” has no well‐defined meaning and should be abandoned.

Laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II: a simplified standardized technique

“…Cystic duct anomalies such as parallel course and low insertion have been considered as risk factors for MS [30,31]. We found four patients (36.4 %) had cystic duct anomalies, namely posterior insertion in patient No.…”

Management of Mirizzi's syndrome in the laparoscopic era

“…T-tube cholangiography was performed on an outpatient basis, and the T tube was removed on the 14 postoperative day. The mean follow-up period was 12 (range, [8][9][10][11][12][13][14][15][16][17] months, and all the patients remained asymptomatic.…”

“…Among other causes, he reported cystic duct stones as one cause for this syndrome. It is now recognized that there is no physiologic sphincter of the hepatic duct and that Mirizzi's syndrome denotes narrowing of the common hepatic duct by gallstone impacted in the cystic duct or the neck of the gallbladder [12]. In 1982 McSherry et al [13] expanded the concept of Mirizzi's syndrome into two types on the basis of the progression of the inflammatory process.…”

Complications of gallstone disease: mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus

“…Jaundice and recurrent cholangitis are the two main clinical manifestations. Anatomically, a cystic duct parallel to the bile duct is one of the main features of this syndrome (2). It is now well known that there is no sphincter in the hepatic duct and that the jaundice is a result of the external compression caused by the impacted stone.…”