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Mirizzi Syndrome
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Partial or complete obstruction of common hepatic duct (CHD) due to gallstone impaction in cystic duct, infundibulum, or Hartmann pouch of gallbladder (GB)

            IMAGING

            • General Features

              • Radiographic Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • CT Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
                                            2. Luu MB et al: Unusual complications of gallstones. Surg Clin North Am. 94(2):377-94, 2014
                                            3. Patel NB et al: Multidetector CT of emergent biliary pathologic conditions. Radiographics. 33(7):1867-88, 2013
                                            4. Cui Y et al: Appraisal of diagnosis and surgical approach for Mirizzi syndrome. ANZ J Surg. 82(10):708-13, 2012
                                            5. Gupta M et al: Mirizzi syndrome: recognition on magnetic resonance cholangiopancreatography. Clin Gastroenterol Hepatol. 10(12):A32, 2012
                                            6. Zhong H et al: Mirizzi syndrome: experience in diagnosis and treatment of 25 cases. Am Surg. 78(1):61-5, 2012
                                            7. Erben Y et al: Diagnosis and treatment of Mirizzi syndrome: 23-year Mayo Clinic experience. J Am Coll Surg. 213(1):114-9; discussion 120-1, 2011
                                            8. Antoniou SA et al: Laparoscopic treatment of Mirizzi syndrome: a systematic review. Surg Endosc. 24(1):33-9, 2010
                                            9. Yun EJ et al: Combination of magnetic resonance cholangiopancreatography and computed tomography for preoperative diagnosis of the Mirizzi syndrome. J Comput Assist Tomogr. 33(4):636-40, 2009
                                            10. Menias CO et al: Mimics of cholangiocarcinoma: spectrum of disease. Radiographics. 28(4):1115-29, 2008
                                            11. Yonetci N et al: The incidence of Mirizzi syndrome in patients undergoing endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 7(5):520-4, 2008
                                            12. Zaliekas J et al: Complications of gallstones: the Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of "lost" gallstones. Surg Clin North Am. 88(6):1345-68, x, 2008
                                            13. Abou-Saif A et al: Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 97(2):249-54, 2002
                                            14. Gomez G: Mirizzi syndrome. Curr Treat Options Gastroenterol. 5(2):95-99, 2002
                                            15. Haritopoulos KN et al: Mirizzi syndrome: a case report and review of the literature. Int Surg. 87(2):65-8, 2002
                                            16. Xiaodong H et al: Diagnosis and treatment of the Mirizzi syndrome. Chin Med Sci J. 14(4):246-8, 1999
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Partial or complete obstruction of common hepatic duct (CHD) due to gallstone impaction in cystic duct, infundibulum, or Hartmann pouch of gallbladder (GB)

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • CT Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
                                                                                      2. Luu MB et al: Unusual complications of gallstones. Surg Clin North Am. 94(2):377-94, 2014
                                                                                      3. Patel NB et al: Multidetector CT of emergent biliary pathologic conditions. Radiographics. 33(7):1867-88, 2013
                                                                                      4. Cui Y et al: Appraisal of diagnosis and surgical approach for Mirizzi syndrome. ANZ J Surg. 82(10):708-13, 2012
                                                                                      5. Gupta M et al: Mirizzi syndrome: recognition on magnetic resonance cholangiopancreatography. Clin Gastroenterol Hepatol. 10(12):A32, 2012
                                                                                      6. Zhong H et al: Mirizzi syndrome: experience in diagnosis and treatment of 25 cases. Am Surg. 78(1):61-5, 2012
                                                                                      7. Erben Y et al: Diagnosis and treatment of Mirizzi syndrome: 23-year Mayo Clinic experience. J Am Coll Surg. 213(1):114-9; discussion 120-1, 2011
                                                                                      8. Antoniou SA et al: Laparoscopic treatment of Mirizzi syndrome: a systematic review. Surg Endosc. 24(1):33-9, 2010
                                                                                      9. Yun EJ et al: Combination of magnetic resonance cholangiopancreatography and computed tomography for preoperative diagnosis of the Mirizzi syndrome. J Comput Assist Tomogr. 33(4):636-40, 2009
                                                                                      10. Menias CO et al: Mimics of cholangiocarcinoma: spectrum of disease. Radiographics. 28(4):1115-29, 2008
                                                                                      11. Yonetci N et al: The incidence of Mirizzi syndrome in patients undergoing endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 7(5):520-4, 2008
                                                                                      12. Zaliekas J et al: Complications of gallstones: the Mirizzi syndrome, gallstone ileus, gallstone pancreatitis, complications of "lost" gallstones. Surg Clin North Am. 88(6):1345-68, x, 2008
                                                                                      13. Abou-Saif A et al: Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 97(2):249-54, 2002
                                                                                      14. Gomez G: Mirizzi syndrome. Curr Treat Options Gastroenterol. 5(2):95-99, 2002
                                                                                      15. Haritopoulos KN et al: Mirizzi syndrome: a case report and review of the literature. Int Surg. 87(2):65-8, 2002
                                                                                      16. Xiaodong H et al: Diagnosis and treatment of the Mirizzi syndrome. Chin Med Sci J. 14(4):246-8, 1999