Mirizzi syndrome: An unusual presentation of cholelithiasis

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: ).