Mirizzi Syndrome

WHAT IS IT?

Mitizzi syndrome refers to the impaction of a gallstone in the cystic duct or Hartmann’s pouch. This will cause cholecystitis and also jaundice.

The impaction of a stone in the common bile duct can be problematic (source)
WHAT IS THE INTIAL PRESENTATION FOR THIS CONDITION?

Patient Issues/Chief Complaints:

CLINICAL WORKUP: SERUM STUDIES

Complete Metabolic Panel (CMP):

  • Elevated bilirubin: often will be direct hyperbilirubinemia
CLINICAL WORKUP: IMAGING

 

CLINICAL WORKUP: OTHER

 

WHAT IS OUR THRESHOLD FOR DIAGNOSING THIS CONDITION?

 

WHAT ELSE SHOULD WE CONSIDER WHEN THIS DIAGNOSIS IS MADE?

 

HOW DO WE MANAGE A PATIENT WITH THIS DIAGNOSIS?

 

WHAT IS THE PROGNOSIS FOR A PATIENT WITH THIS DIAGNOSIS?

 

COULD THIS CONDITION HAVE BEEN PREVENTED?

 

ARCHIVE OF STANDARDIZED EXAM QUESTIONS 

This archive compiles standardized exam questions that relate to this topic.

FURTHER READING

DynaMed

UpToDate

 

 

Page Updated: 01.29.2017