Endoscopic Management and Avoiding Early Surgery in a Rare Case of Type I Mirizzi’s Syndrome

Abstract

Mirizzi’s syndrome is a rare presentation of gallstones and obstructive jaundice. It occurs when one large stone or multiple small stones get impacted in the Hartman’s pouch or at the cystic duct causing obstruction of the common hepatic duct by external compression. The patient may present with jaundice, fever, right upper quadrant pain. Septic shock can occur Although it’s a rare complication. Early diagnosis with clinical suspicion will prevent further operative management. Also it prevents biliary ductal injuries. We present a case that was successfully treated with endoscopic management [1-5].