title: Preoperative diagnosis of Mirizzi syndrome.
abstract: Mirizzi syndrome is defined as an obstruction of the common hepatic duct by a stone present in the cystic duct or neck of the gallbladder. This entity rarely has been reported, and in only a few cases was the diagnosis made preoperatively. The preoperative diagnosis is of great importance since intraoperative findings may be similar to carcinoma of the extrahepatic biliary system, which requires a different technical approach. Furthermore, unrecognized cholecystobiliary or cholecystoenteric fistula resulting from stone penetration lead to serious postoperative complications, which can be avoided if the condition is properly recognized.
authors.affiliation: Department of Internal Medicine D, Rambam Medical Center, Haifa, Israel.
authors.forename: T
authors.initials: T
authors.lastname: Hayek
authors.forename: U
authors.initials: U
authors.lastname: Kleinhaus
authors.forename: N
authors.initials: N
authors.lastname: Hashmonai
authors.forename: S
authors.initials: S
authors.lastname: Keidar
mesh_terms: D002769:Cholelithiasis / Q000150:complications*; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis* / Q000209:etiology; D006500:Hepatic Duct, Common; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D013577:Syndrome