Benign biliary stricture and its rare association–Mirizzi syndrome: A case series and literature review

Abstract

Introduction: Mirizzi syndrome is a rare variant of obstructive jaundice due to extrinsic compression of common bile duct (CBD) or common hepatic duct (CHD) by an impacted gallstone in the infundibulum (Hartmann’s pouch) or neck of the gallbladder or in the cystic duct. The diagnosis of this rare condition is important because its presence is associated with an increased risk of bile duct injury when a standard cholecystectomy is carried out. Case Series: A series of three similar cases of benign bile duct stricture secondary to cholecystolithiasis (Mirizzi syndrome) are reported. Their clinical symptoms, diagnosis and management and outcomes were not identical. Conclusion: To reach the final correct diagnosis of a rare variant of gallstone­related disease is always challenging. Recognition of several different clinical presentations of a same disease is important in order to avoid any complications during an operation. There should be a careful diagnostic approach towards Mirizzi syndrome before laparoscopic cholecystectomy is planned.