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Case Reports
. 2011 Dec;180(4):893-5.
doi: 10.1007/s11845-009-0292-x. Epub 2009 Apr 15.

Mirizzi's syndrome: a diagnostic dilemma

I N Masih  1 , R J Moorehead, G R Caddy
Affiliations
Case Reports

Mirizzi's syndrome: a diagnostic dilemma

I N Masih et al. Ir J Med Sci. 2011 Dec.

Abstract

A 62-year-old male presented with a history of upper abdominal discomfort. Past history included asymptomatic gallstones. Abdominal ultrasound and CT demonstrated gallstones within a thick-walled gallbladder, and intra and extrahepatic duct dilatation. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a stricture within the mid-portion of the common bile duct. At laparotomy, a single large stone was found causing external compression of the common bile duct causing a Mirizzi's-type stricture. At repeat ERCP, cholangiogram showed no evidence of stricture. Clinicians should be aware that no definite clinical signs distinguish Mirizzi's syndrome and surgical exploration is often required for diagnosis.

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