Mirizzi syndrome: An unusual presentation of cholelithiasisMunir Memon,* S. M. Tahir,* S. Asad Ali,* Abdul Razaque Shaikh,** Ambreen Muneer,*
Noshad A. Shaikh**.
To evaluate the diagnostic features, treatment strategies and post operative complications in
Patients and Methods
Our experience with 12 cases with Mirizzi syndrome is presented. All were diagnosed at
exploration and managed surgically.
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.
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: ).
Jaundice, Mirizzi syndrome, cholecystectomy.