Delayed Diagnosis of Mirizzi Syndrome

Abstract

Biliary obstruction occurs in a wide variety of malignant and benign conditions. The following is a unique case of biliary obstruction caused by external compression of the hepatic duct by a gallstone (Mirizzi syndrome). Owing to unusual imaging characteristics of the stone, the mass was initially mistaken for a malignancy or hepatic pseudoaneurysm. It was not until the patient developed gallstone ileus that the correct diagnosis was made.

Keywords

biliary obstruction - pseudoaneurysm - cholangiocarcinoma - gallstone - Mirizzi syndrome - interventional radiology

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