Acute acalculous cholecystitis simulating Mirizzi syndrome: a very rare condition

Southern Medical Journal
Sushil K Ahlawat

Abstract

Mirizzi syndrome, a rare complication of chronic cholelithiasis, is caused by an impacted stone in the cystic duct or the neck of the gallbladder. Patients present with abdominal pain, fever, and obstructive jaundice. The cholangiographic finding is a smooth stricture caused by lateral compression of the common hepatic duct. A similar appearance on cholangiogram can result from carcinoma of the gallbladder, carcinoma of the cystic duct, or hilar adenopathy. Acute acalculous cholecystitis simulating Mirizzi syndrome is extremely rare. This is the report of such a case in which marked inflammatory changes around the neck of the gallbladder likely caused significant mechanical obstruction of the common hepatic duct.

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Citations

Jan 14, 2009·Southern Medical Journal·Jaques Waisberg
May 19, 2010·Gastroenterology Clinics of North America·Philip S Barie, Soumitra R Eachempati
Mar 13, 2012·International Journal of Surgery Case Reports·Yuri N ShiryajevNikolay Y Kokhanenko
Dec 17, 2009·BMC Surgery·Michael D Kelly
Apr 1, 2021·BMJ Case Reports·Takashi SakamotoTetsuro Takasaki
Jul 2, 2021·Clinical Case Reports·Elroy Patrick WeledjiFrank Zouna

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