Skip to main content
PMC home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1997 Aug;73(862):487–490. doi: 10.1136/pgmj.73.862.487

The Mirizzi syndrome.

M Pemberton 1, A D Wells 1
PMCID: PMC2431374  PMID: 9307740

Abstract

The Mirizzi syndrome is an unusual presentation of gallstones which occurs when a gallstone becomes impacted in either Hartmann's pouch of the gallbladder or the cystic duct, causing obstruction of the common hepatic duct by extrinsic compression. The diagnosis of this syndrome is of importance because surgery in its presence is associated with an increased incidence of bile duct injury. The pathology, clinical presentation and management of this syndrome are discussed, and several illustrative case reports presented.

Full text

PDF
488

Images in this article

489Figure 2
on p.489
489Figure 3
on p.489

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adam A., Roddie M. E., Benjamin I. S. Case report: Mirizzi syndrome--treatment with metallic endoprosthesis. Clin Radiol. 1993 Sep;48(3):198–201. doi: 10.1016/s0009-9260(05)80283-1. [DOI] [PubMed] [Google Scholar]
  2. Baer H. U., Matthews J. B., Schweizer W. P., Gertsch P., Blumgart L. H. Management of the Mirizzi syndrome and the surgical implications of cholecystcholedochal fistula. Br J Surg. 1990 Jul;77(7):743–745. doi: 10.1002/bjs.1800770708. [DOI] [PubMed] [Google Scholar]
  3. Balthazar E. J. The Mirizzi syndrome, inflammatory structure of the common hepatic duct. Am J Gastroenterol. 1975 Aug;64(2):144–148. [PubMed] [Google Scholar]
  4. Becker C. D., Hassler H., Terrier F. Preoperative diagnosis of the Mirizzi syndrome: limitations of sonography and computed tomography. AJR Am J Roentgenol. 1984 Sep;143(3):591–596. doi: 10.2214/ajr.143.3.591. [DOI] [PubMed] [Google Scholar]
  5. Binnie N. R., Nixon S. J., Palmer K. R. Mirizzi syndrome managed by endoscopic stenting and laparoscopic cholecystectomy. Br J Surg. 1992 Jul;79(7):647–647. doi: 10.1002/bjs.1800790717. [DOI] [PubMed] [Google Scholar]
  6. Corlette M. B., Bismuth H. Biliobiliary fistula. A trap in the surgery of cholelithiasis. Arch Surg. 1975 Apr;110(4):377–383. doi: 10.1001/archsurg.1975.01360100019004. [DOI] [PubMed] [Google Scholar]
  7. Cornud F., Grenier P., Belghiti J., Breil P., Nahum H. Mirizzi syndrome and biliobiliary fistulas: roentgenologic appearance. Gastrointest Radiol. 1981;6(3):265–268. doi: 10.1007/BF01890263. [DOI] [PubMed] [Google Scholar]
  8. Cotton P. B. Endoscopic management of bile duct stones; (apples and oranges). Gut. 1984 Jun;25(6):587–597. doi: 10.1136/gut.25.6.587. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Cruz F. O., Barriga P., Tocornal J., Burhenne H. J. Radiology of the Mirizzi syndrome: diagnostic importance of the transhepatic cholangiogram. Gastrointest Radiol. 1983;8(3):249–253. doi: 10.1007/BF01948128. [DOI] [PubMed] [Google Scholar]
  10. Csendes A., Díaz J. C., Burdiles P., Maluenda F., Nava O. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg. 1989 Nov;76(11):1139–1143. doi: 10.1002/bjs.1800761110. [DOI] [PubMed] [Google Scholar]
  11. Curet M. J., Rosendale D. E., Congilosi S. Mirizzi syndrome in a Native American population. Am J Surg. 1994 Dec;168(6):616–621. doi: 10.1016/s0002-9610(05)80132-1. [DOI] [PubMed] [Google Scholar]
  12. De Bakshi S., Das S., Sengupta A. Mirizzi syndrome in a patient with carcinoma of the gallbladder. Br J Surg. 1992 Apr;79(4):371–372. doi: 10.1002/bjs.1800790430. [DOI] [PubMed] [Google Scholar]
  13. Dewar G., Chung S. C., Li A. K. Operative strategy in Mirizzi syndrome. Surg Gynecol Obstet. 1990 Aug;171(2):157–159. [PubMed] [Google Scholar]
  14. Fan S. T., Lau W. Y., Lee M. J., Wong K. P., Wong K. K. Cholecystohepaticodochal fistula: the value of pre-operative recognition. Br J Surg. 1985 Sep;72(9):743–744. doi: 10.1002/bjs.1800720925. [DOI] [PubMed] [Google Scholar]
  15. Koehler R. E., Melson G. L., Lee J. K., Long J. Common hepatic duct obstruction by cystic duct stone: Mirizzi syndrome. AJR Am J Roentgenol. 1979 Jun;132(6):1007–1009. doi: 10.2214/ajr.132.6.1007. [DOI] [PubMed] [Google Scholar]
  16. Meng W. C., Kwok S. P., Kelly S. B., Lau W. Y., Li A. K. Management of Mirizzi syndrome by laparoscopic cholecystectomy and laparoscopic ultrasonography. Br J Surg. 1995 Mar;82(3):396–396. doi: 10.1002/bjs.1800820338. [DOI] [PubMed] [Google Scholar]
  17. Plaisier P. W., van der Hul R. L., Terpstra O. T., Bruining H. A. Current role of extracorporeal shockwave therapy in surgery. Br J Surg. 1994 Feb;81(2):174–181. doi: 10.1002/bjs.1800810205. [DOI] [PubMed] [Google Scholar]
  18. Rao P. S., Tandon R. K., Kapur B. M. Biliobiliary fistula: review of nine cases. Am J Gastroenterol. 1988 Jun;83(6):652–657. [PubMed] [Google Scholar]
  19. Ravo B., Epstein H., La Mendola S., Ger R. The Mirizzi syndrome: preoperative diagnosis by sonography and transhepatic cholangiography. Am J Gastroenterol. 1986 Aug;81(8):688–690. [PubMed] [Google Scholar]
  20. Sandblom P., Tabrizian M., Rigo M., Fluckiger A. Repair of common bile duct defects using the gallbladder or cystic duct as a pedicled graft. Surg Gynecol Obstet. 1975 Mar;140(3):425–432. [PubMed] [Google Scholar]
  21. Starling J. R., Matallana R. H. Benign mechanical obstruction of the common hepatic duct (Mirizzi syndrome). Surgery. 1980 Nov;88(5):737–740. [PubMed] [Google Scholar]
  22. Starling J. R., Matallana R. H. Benign mechanical obstruction of the common hepatic duct (Mirizzi syndrome). Surgery. 1980 Nov;88(5):737–740. [PubMed] [Google Scholar]
  23. Tanaka N., Nobori M., Furuya T., Ueno T., Kimura H., Nagai M., Kanno T., Mizuta K., Asada M. Evolution of Mirizzi syndrome with biliobiliary fistula. J Gastroenterol. 1995 Feb;30(1):117–121. doi: 10.1007/BF01211386. [DOI] [PubMed] [Google Scholar]
  24. Yip A. W., Chow W. C., Chan J., Lam K. H. Mirizzi syndrome with cholecystocholedochal fistula: preoperative diagnosis and management. Surgery. 1992 Mar;111(3):335–338. [PubMed] [Google Scholar]
  25. Yip A. W., Ng W. S., Suen W. S., Cheng C. S. Type II Mirizzi syndrome: diagnosis by endoscopic retrograde cholangiopancreatography. J R Coll Surg Edinb. 1992 Feb;37(1):49–50. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES