Mirizzi Syndrome: Diagnosis and Management of a Challenging Biliary Disease

Table 1

Clinical data summarized.

Pt	Sex	Age	Symptom	Preop. Imaging	Preop. diagnosis	Treatment	Final diagnosis
1	M	64	Cholangitis	US, ERCP	Mirizzi	Hepatico-jejunostomy	Mirizzi type II
2	M	79	Jaundice	US,CT,ERCP	Gallbladder cancer	Cholecystectomy	M. type I
3	M	82	Pain	US, MRI,ERCP	Mirizzi	Cholecystectomy	M. type I
4	M	90	Jaundice	US,CT,MRI,PTC	Gallbladder cancer	Nonoperative, PTC	M. type I
5	M	78	Jaundice	US,CT	Klatskin’s tumor	Cholecystectomy	M. type I
6	M	61	Jaundice	US,CT,MRI,ERCP	Mirizzi	Cholecystect. + T-tube	Mirizzi type II
7	F	65	Jaundice	US,MRI,ERCP	Mirizzi	Cholecystectomy	M. type I
8	M	72	Jaundice	US,ERCP	Gallbladder cancer	Hepatico-jejunostomy	Mirizzi type II
9	M	67	Pain	US,CT,MRI,ERCP	Mirizzi	Cholecystectomy	M. type I
10	F	65	Jaundice	US,CT,ERCP	Mirizzi	Cholecystectomy	M. type I
11	F	38	Jaundice	US,CT,MRI,PTC	Gallbladder cancer	Hepatico-jejunostomy	Mirizzi type II
12	M	68	Jaundice	US,CT,MRI,ERCP	Mirizzi	Explor.Laparotomy	M. type I + GBC
13	F	56	Jaundice	US,CT,ERCP	Mirizzi	Cholecystect. + T-tube	Mirizzi type II
14	F	56	Pain	US,CT,ERCP	Mirizzi	Cholecystect. + T-tube	Mirizzi type II
15	F	56	Jaundice	US,CT,MRI	Gallbladder cancer	Hepatico-jejunostomy	Mirizzi type II
16	M	68	Jaundice	US,CT,ERCP	Gallbladder cancer	Cholecystectomy	M. type I
17	M	25	Jaundice	US,MRI,ERCP	Mirizzi	Cholecystectomy	M. type I
18	F	52	Jaundice	US,MRI,ERCP	Mirizzi	Right hepatectomy	M. type I + GBC

Note. US=ultrasonography; CT=Computerized Tomography; MRI= magnetic resonance imaging; PTC= percutaneous transhepatic cholangiography; ERCP= endoscopic retrograde cholangiopancreatography; GBC= gallbladder cancer.