Clin Endosc.  2021 Sep;54(5):777-779. 10.5946/ce.2021.205.

A Stone in Remnant Cystic Duct Causing Mirizzi Syndrome Following Laparoscopic Cholecystectomy

• Yang MJ
• Park DH

• KMID: 2520566
• DOI: http://doi.org/10.5946/ce.2021.205

Figure

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  Fig. 1. (A) Computed tomography scan showed the dilatation of the proximal common hepatic duct and intrahepatic duct. (B) A round signal void was seen on magnetic resonance cholangiopancreatography. (C) The bile duct was cut off at the level of common hepatic duct, suggesting 1.5-cm filling lesions that obstructed the common hepatic duct, as seen on endoscopic retrograde cholangiography. (D) Mass-like extrinsic compression in the common hepatic duct and clogging of the cystic duct orifice was found upon single operator peroral cholangioscopy.

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  Fig. 2. (A) On follow-up endoscopic retrograde cholangiopancreatography, transpapillary biopsy and balloon dilation for biliary stricture was performed. (B) Numerous cholesterol stones were retrieved via basket extraction. (C) Follow-up computed tomography scan showed no residual stones or mass lesions in the bile duct.

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