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Original Research

RMJ. 2010; 35(1): 68-71


Mirizzi syndrome: An unusual presentation of cholelithiasis

Munir Memon,* S. M. Tahir,* S. Asad Ali,* Abdul Razaque Shaikh,** Ambreen Muneer,* Noshad A. Shaikh**.

Abstract
Objective
To evaluate the diagnostic features, treatment strategies and post operative complications in
Mirizzi Syndrome.
Patients and Methods
Our experience with 12 cases with Mirizzi syndrome is presented. All were diagnosed at
exploration and managed surgically.
Results
Morbidity rate after surgery was 58.35% with the mortality of 8.35%. At follow-up, all
patients were symptoms free after 3 months of surgery.
Conclusion
Mirizzi syndrome is rarely diagnosed preoperatively and ultra-sound even in experienced
hands does not provide any clue to the diagnosis. The index of clinical suspicion should be
high in long standing cholelithiasis. Surgery provides cure and definitive per operative
diagnosis. (Rawal Med J 2010,35: ).

Key words: Jaundice, Mirizzi syndrome, cholecystectomy.


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