Mirizzi's Syndrome

What is Mirizzi's Syndrome?

Mirizzi's syndrome is a condition characterized by stricture of the common hepatic duct.

The common hepatic duct is the duct formed by the junction of the right hepatic duct (which drains bile from the right half of the liver) and the left hepatic duct (which drains bile from the left half of the liver).

Mirizzi's syndrome may be mistaken for pancreatic cancer or cholangiocarcinoma.

What Causes Mirizzi's syndrome?

Mirizzi's syndrome is caused by chronic cholecystitis and large gallstones resulting in constriction of the common bile duct. cholecystitis is an inflammation of the gallbladder that causes severe abdominal pain.

In some cases, the gallstone erodes into the common hepatic duct and produces a cholecystocholedochal fistula.

Symptoms of Mirizzi's syndrome

The most common symptoms of Mirizzi's syndrome are:

• jaundice
• fever
• recurrent cholangitis
• right upper quadrant pain
• elevated bilirubin
• pancreatitis
• cholecystitis

How is Mirizzi's Syndrome Diagnosed?

Doctors usually diagnose Mirizzi's syndrome via CT scan or ultrasonography.

Can Mirizzi's Syndrome be Treated?

Mirizzi's syndrome can be treated. Common treatments include surgical removal of the gallbladder and reconstruction of the common bile duct and the hepatic duct.

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