MIRIZZI SYNDROME

T2 HASTE AXIAL IMAGE SHOWING IMPACETD CALCULUS IN CYSTIC DUCT

T2 HASTE CORONAL IMAGE SHOWING IMPACTED CYSTIC DUCT CALCULUS CAUSING BILIARY OBSTRUCTION. MULTIPLE CALCULI ARE SEEN IN THE GB.

T2 HASTE AXIAL IMAGE SHOWING DILATED BILIARY SYSTEM

T2 HASTE CORONAL IMAGE SHOWING BILIARY OBSTRUCTION

3D RECIST IMAGE SHOWING BILIARY OBSTRUCTION BY THE IMPACTED CALCULUS

 MIRIZZI SYNDROME:   

It is best seen on ultrasound or MRCP which show gall stone impacted in the cystic duct or GB neck causing narrowing of the common hepatic duct and dilated intrahepatic bile ducts.

REFERENCE: 

• Federle MP: Mirizzi Syndrome. Diagnostic Imaging Abdomen: Second Edition. Amirsys: III-2-48, 2010.