How is Mirizzi syndrome treated?

The treatment of Mirizzi syndrome is surgical. The main factor that determines the surgical method is the occurrence of the fistula. Open or laparoscopic cholecystectomy is preferred in type 1 Mirizzi syndrome. In case of the fistula occurrence, bile duct intervention should be done by open surgery method.

What causes Mirizzi syndrome?

Mirizzi syndrome is defined as common hepatic duct obstruction caused by extrinsic compression from an impacted stone in the cystic duct or infundibulum of the gallbladder [1-3]. Patients with Mirizzi syndrome can present with jaundice, fever, and right upper quadrant pain.

How many types of Mirizzi syndrome are there?

(i) Type I, “classic” Mirizzi syndrome. (ii) Type II cholecystocholedochal fistula with two subtypes: (a) diameter less than 50% of the CBD and (b) diameter more than 50% of the CBD. (iii) Type III, with cholecysto-enteric fistula without (a) or with (b) gallstone ileus.

Is Mirizzi syndrome fatal?

Extremely high levels of malignancy markers cancer antigen (CA) 19-9 have been found in patients and often have been mistakenly and incorrectly labelled as malignancy. Total mortality associated with Mirizzi syndrome is estimated to range from 5% to 31% [1].

What does it mean if you have Mirizzi’s syndrome?

Mirizzi’s syndrome. Mirizzi’s syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder causing compression of the common hepatic duct, resulting in obstruction and jaundice.

Where is the stone located in Mirizzi’s syndrome?

Mirizzi’s Syndrome is a health condition that involves an obstruction of the common hepatic duct or the common bile duct, as an end result of an extrinsic compression by an impacted stone which is located in the cystic duct, or in the Hartmann’s pouch found in the gallbladder.

How does Mirizzi’s syndrome affect the gallbladder?

Mirizzi’s Syndrome develops when a gallstone becomes impacted in the neck of the gallbladder or in the cystic duct causing compression of the common bile duct or common hepatic duct resulting in obstruction with or without jaundice and may progress into a cholecystocholedochal fistula.

How is Mirizzi syndrome related to cholangiocarcinoma?

Mirizzi syndrome refers to an uncommon phenomenon that results in extrinsic compression of an extrahepatic biliary duct from one or more calculi within the cystic duct or gallbladder. It is a functional hepatic syndrome but can often present with biliary duct dilatation and can mimic other hepatobiliary pathologies such as cholangiocarcinoma 2 .