Presentation
obstructive jaundice since few days, referred for further assessment of diffuse intrahepatic biliary duct dilatation seen on ultrasound.
Patient Data
Age: 60 years
Gender: Male
From the case:
Mirizzi syndrome
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Two gallstones are seen near the gallbladder neck, the largest of which is exerting extrinsic compression on the adjacent common hepatic duct, causing moderate diffuse intra-hepatic bile ducts dilatation.
Incidental note is made of fundal adenomyomatosis and splenomegaly.
From the case:
Mirizzi syndrome
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Annotated image: the red arrow indicates the extrinsic compression of the common hepatic duct exerted by a large gallstone impacted near the gallbladder neck.
Case Discussion
MRI findings are consistent with Mirizzi syndrome.
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