Korean J Hepatobiliary Pancreat Surg.  2004 Jun;8(2):111-114.

A Case of Mirizzi Syndrome Misdiagnosed as a Cholangiocarcinoma

Affiliations
  • 1Department of Surgery, Kangbuk Samsung Hospital, Sungkunkwan University of Medicine, Seoul, Korea. junhshin@samsung.co.kr
  • 2Department of Radiology, Kangbuk Samsung Hospital, Sungkunkwan University of Medicine, Seoul, Korea.
  • 3Department of Pathology, Kangbuk Samsung Hospital, Sungkunkwan University of Medicine, Seoul, Korea.

Abstract

The Mirizzi syndrome is a rare benign cause of obstructive jaundice. It is particularly interesting to surgeons because the surgery has to be carefully planned to avoid unnecessary damage to the common bile duct. Furthermore, it gives a differential diagnosis dilemma for surgeons as well as radiologist because there are no diagnostic procedures or clinical features that have a perfect access. As a result, the Mirizzi syndrome often has been mistaken for gallbladder cancer and cholangiocarcinoma. We experienced of a 76-year-old male patient, whose clinical symptoms were jaundice, epigastric pain and fever with chill and misdiagnosed as a cholangiocarcinoma with liver metastasis.

Keyword

Bile Duct Disease; Cholelithiasis; Cholestasis; Cystic Duct

MeSH Terms

Aged
Bile Duct Diseases
Cholangiocarcinoma*
Cholelithiasis
Cholestasis
Common Bile Duct
Cystic Duct
Diagnosis, Differential
Fever
Gallbladder Neoplasms
Humans
Jaundice
Jaundice, Obstructive
Liver
Male
Mirizzi Syndrome*
Neoplasm Metastasis
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