Mirizzi syndrome
Dr. Bruno Sagastegui Aguilar
- Case name: MIRIZZI SYNDROME
- Author's name: Dr. Bruno Sagástegui Aguilar.
- Author's job position: Work center: SONOSCAN Ultrasound Center (Private) and TOMONORTE Diagnostic Imaging Center (Private) Trujillo – PERU.
- Clinical and examination: A 34-year-old female patient presents with severe pain in the CSD (Murphy ECO +) for 4 days. Vomiting and jaundice are associated. Background: diabetic patient. She denies surgical interventions. The attending physician requests a hepatobiliary ultrasound.
- Ultrasound findings: Hydropic gallbladder with thickened walls and signs of edema, with few dense echoes and stones embedded in the neck, compressing the main bile duct and dilating it. (Videos 1 and 2)
- Diagnosis: The findings are compatible with hydropic gallbladder with signs of acute lithiasis cholecystopathy associated with sediment and dilatation of the main bile duct (due to a stone embedded in the neck) – MIRIZZI SYNDROME – IA.
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