Common hepatic duct obstruction by remnant cystic duct stone after cholecystectomy: Mirizzi syndrome

Hei Lin Pang, Chih Yung Yu, Huan Fa Hsieh, Shun Chih Hu, Wen Hao Huang, Cheng Yu Chen, Chi Tien Liu

Research output: Contribution to journalArticle

Abstract

The Mirizzi syndrome is an uncommon cause of obstructive jaundice. In 1948, Mirizzi characterized a syndrome in which common hepatic duct obstruction occurs because of impacted stones in the gallbladder neck or cystic duct. It is commonly referred to date as the Mirizzi syndrome. Patients with lower insertion of the cystic duct and a long parallel course of cystic duct and common hepatic duct are often left with a long cystic duct remnant after cholecystectomy. The remnant may gradually increased in size and become a site of bile stasis, chronic inflammation, and stone formation. We report a case whose obstructive jaundice after laparoscopic cholecystectomy results from residual stone in the cystic duct remnant.

Original languageEnglish
Pages (from-to)313-317
Number of pages5
JournalChinese Journal of Radiology
Volume30
Issue number5
Publication statusPublished - Oct 2005
Externally publishedYes

Keywords

  • Common hepatic duct
  • Mirizzi syndrome
  • Obstructive jaundice

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Pang, H. L., Yu, C. Y., Hsieh, H. F., Hu, S. C., Huang, W. H., Chen, C. Y., & Liu, C. T. (2005). Common hepatic duct obstruction by remnant cystic duct stone after cholecystectomy: Mirizzi syndrome. Chinese Journal of Radiology, 30(5), 313-317.