Mirizzi syndrome and management

Objective: The aim of this study is to report the frequency, diagnosis and management of Mirizzi syndrome in our patients population. Methods: A retrospective review of all endoscopic retrograde cholangiograph y files performed over a 6 year period (1414-1419H) at King Khalid Universi ty Hospital. During that period, a total of 1,053 endoscopic retrograde cho langiography procedures were performed. Results: Thirteen patients were found to have Mirizzi syndrome (1.2%); mean age was 43.3 years. Mirizzi syndrome Type 1 was diagnosed endoscopically i n 12 patients while Type II was found in only one patient. Endoscopic manag ement was successful in 2 patients. Open cholecystectomies were performed i n 11 patients and laparoscopic cholecystectomies were performed in 2 patien ts. Conclusion: Mirizzi syndrome is a rare complication of cholelithiasis. Open cholecystectomy is required in the majority of patients.