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
Gandhi D et al: A pictorial review of gall stones and its associated complications. Clin Imaging. 60(2):228-36, 2020
Jones MW et al: Mirizzi syndrome. StatPearls, 2021
Alemi F et al: Gallstone disease: cholecystitis, Mirizzi syndrome, Bouveret syndrome, gallstone ileus. Surg Clin North Am. 99(2):231-44, 2019
Ji YF et al: The use of different pathology classification systems in preoperative imaging of Mirizzi syndrome. Arch Med Sci. 15(5):1288-93, 2019
Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
Luu MB et al: Unusual complications of gallstones. Surg Clin North Am. 94(2):377-94, 2014
Patel NB et al: Multidetector CT of emergent biliary pathologic conditions. Radiographics. 33(7):1867-88, 2013
Cui Y et al: Appraisal of diagnosis and surgical approach for Mirizzi syndrome. ANZ J Surg. 82(10):708-13, 2012
Gupta M et al: Mirizzi syndrome: recognition on magnetic resonance cholangiopancreatography. Clin Gastroenterol Hepatol. 10(12):A32, 2012
Zhong H et al: Mirizzi syndrome: experience in diagnosis and treatment of 25 cases. Am Surg. 78(1):61-5, 2012
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
Antoniou SA et al: Laparoscopic treatment of Mirizzi syndrome: a systematic review. Surg Endosc. 24(1):33-9, 2010
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
Menias CO et al: Mimics of cholangiocarcinoma: spectrum of disease. Radiographics. 28(4):1115-29, 2008
Yonetci N et al: The incidence of Mirizzi syndrome in patients undergoing endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 7(5):520-4, 2008
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
Abou-Saif A et al: Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 97(2):249-54, 2002
Haritopoulos KN et al: Mirizzi syndrome: a case report and review of the literature. Int Surg. 87(2):65-8, 2002
Xiaodong H et al: Diagnosis and treatment of the Mirizzi syndrome. Chin Med Sci J. 14(4):246-8, 1999
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KEY FACTS
Terminology
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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
Gandhi D et al: A pictorial review of gall stones and its associated complications. Clin Imaging. 60(2):228-36, 2020
Jones MW et al: Mirizzi syndrome. StatPearls, 2021
Alemi F et al: Gallstone disease: cholecystitis, Mirizzi syndrome, Bouveret syndrome, gallstone ileus. Surg Clin North Am. 99(2):231-44, 2019
Ji YF et al: The use of different pathology classification systems in preoperative imaging of Mirizzi syndrome. Arch Med Sci. 15(5):1288-93, 2019
Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
Luu MB et al: Unusual complications of gallstones. Surg Clin North Am. 94(2):377-94, 2014
Patel NB et al: Multidetector CT of emergent biliary pathologic conditions. Radiographics. 33(7):1867-88, 2013
Cui Y et al: Appraisal of diagnosis and surgical approach for Mirizzi syndrome. ANZ J Surg. 82(10):708-13, 2012
Gupta M et al: Mirizzi syndrome: recognition on magnetic resonance cholangiopancreatography. Clin Gastroenterol Hepatol. 10(12):A32, 2012
Zhong H et al: Mirizzi syndrome: experience in diagnosis and treatment of 25 cases. Am Surg. 78(1):61-5, 2012
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
Antoniou SA et al: Laparoscopic treatment of Mirizzi syndrome: a systematic review. Surg Endosc. 24(1):33-9, 2010
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
Menias CO et al: Mimics of cholangiocarcinoma: spectrum of disease. Radiographics. 28(4):1115-29, 2008
Yonetci N et al: The incidence of Mirizzi syndrome in patients undergoing endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 7(5):520-4, 2008
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
Abou-Saif A et al: Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 97(2):249-54, 2002