title: Mirizzi syndrome caused by a bile pseudocyst.
abstract: BACKGROUND
  Mirizzi syndrome caused by bile pseudo cyst presents diagnostic and management challenges to the surgeon.
  
  
  OBJECTIVE
  To emphasize to clinicians the need to always recognize and correct associated liver derangements before surgery so as to prevent the usual accompanying high morbidity/mortality associated with Mirizzi syndrome.
  
  
  METHODS
  We report an unusual and previously unreported pathology of post-cholecystectomy Mirizzi syndrome in a 35 year old female who developed a bile pseudo-cyst and which may possibly qualify for Mirizzi syndrome type 5--highlighting the need for maximum pre, -intra, and post-operative challenges for improved prognosis. The patient was lost from reactionary haemorrhage due to limited facilities.
  
  
  CONCLUSIONS
  There is a crying need in developing countries to have Critical Care centers and for Clinicians to recognize the necessity for adequate pre, intra and post-operative care of these high risk patients.
authors.affiliation: Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo. atilola17@yahoo.com
authors.forename: A O A
authors.initials: AO
authors.lastname: Aderounmu
authors.forename: A S
authors.initials: AS
authors.lastname: Oguntola
authors.forename: O O
authors.initials: OO
authors.lastname: Lawal
authors.forename: A K
authors.initials: AK
authors.lastname: Eziyi
authors.forename: T O
authors.initials: TO
authors.lastname: Bello
authors.forename: B B
authors.initials: BB
authors.lastname: Osinaike
authors.forename: S O
authors.initials: SO
authors.lastname: Agodirin
mesh_terms: D000328:Adult; D001649:Bile Duct Diseases / Q000150:complications*; D001652:Bile Ducts / Q000473:pathology*; D002764:Cholecystitis / Q000150:complications*; D002779:Cholestasis / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D042882:Gallstones / Q000150:complications*; D006801:Humans; D041781:Jaundice, Obstructive; D010181:Pancreatic Cyst / Q000150:complications*; D011379:Prognosis; D012307:Risk Factors