Mirizzi syndrome: Problems and strategies

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“…It describes five types of MS according to the presence of a cholecystobiliary fistula and its corresponding severity, and whether a cholecystoenteric fistula is present. While ultrasound (US) and magnetic resonance cholangiopancreatography (MRCP) are commonly used for the diagnosis, literature shows that the US is the most frequently used method of initial diagnosis [3,5,[6][7][8]. Preoperative diagnosis is difficult and often missed, but is crucial to avoid complications during treatment.…”

“…of right hepatic artery and the bile duct, because of the severe inflammation and dense fibrosis at the Calot's triangle, that increases intraoperative damage [3,9]. When combined with the application of ERCP, a laparoscopic management of MS by well-trained surgeons is feasible and safe [3].. Identifying MS versus other common causes of obstructive jaundice is crucial to avoid complications.…”

“…Mirizzi syndrome (MS) named after the Argentinean surgeon Pablo Luis Mirizzi, who described in1893 a rare complication of cholelithiasis, in which there was obstruction of the common hepatic duct due to extrinsic compression from a large impacted stone in the neck of the gallbladder or cystic duct [2]. Laparoscopic surgery presents a challenge because the dense adhesions and edematous inflammatory tissue can cause distortion of the normal anatomy and increase the risk for biliary injury, open conversión and procedure-related complications rates [3]. Preoperative diagnosis is crucial to avoid complications during treatment.…”