Top

Journal of Medical Case Reports

Published in:

Open Access 01-12-2008 | Case report

Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report

Authors: Oliver Anderson, Radwane Faroug, Brian R. Davidson, J. Antony Goode

Published in: Journal of Medical Case Reports | Issue 1/2008

Abstract

Introduction

This is the first case report of Mirizzi syndrome associated with hepatic artery pseudoaneurysm.

Case presentation

A 54-year-old man presented with painful obstructive jaundice and weight loss. Computed tomography showed a hilar mass in the liver. Following an episode of haemobilia, angiography demonstrated a pseudoaneurysm of a branch of the right hepatic artery that was embolised. At surgery, a gallstone causing Mirizzi type II syndrome was found to be responsible for the biliary obstruction and a necrotic inflammatory mass and haematoma were found to be extending into the liver. The mass was debrided and drained, the obstructing stones removed and the bile duct drained with a t-tube. The patient made a full recovery.

Conclusion

This case highlights another situation where there may be difficulty in differentiating Mirizzi syndrome from biliary tract cancer.

Available only for authorised users

Mirizzi PL: Syndrome del conducto hepatico. J Int Chir. 1948, 8: 731-733.

Lai EC, Lau WY: Mirizzi syndrome: History, present and future development. ANZ J Surg. 2006, 76 (4): 251-257. 10.1111/j.1445-2197.2006.03690.x.CrossRefPubMed

Tan KY, Chng HC, Chen CY, Tan SM, Poh BK, Hoe MN: Mirizzi syndrome: Noteworthy aspects of a retrospective study in one centre. ANZ J Surg. 2004, 74 (10): 833-837. 10.1111/j.1445-1433.2004.03184.x.CrossRefPubMed

Ibrarullah M, Saxena R, Sikora SS, Kapoor VK, Saraswat VA, Kaushik SP: Mirizzi's syndrome: Identification and management strategy. Aust N Z J Surg. 1993, 63 (10): 802-806. 10.1111/j.1445-2197.1993.tb00344.x.CrossRefPubMed

Chan CY, Liau KH, Ho CK, Chew SP: Mirizzi syndrome: A diagnostic and operative challenge. Surgeon. 2003, 1 (5): 273-278.CrossRefPubMed

Merrell SW, Schneider PD: Hemobilia – evolution of current diagnosis and treatment. West J Med. 1991, 155 (6): 621-625.PubMedPubMedCentral

McSherry CK, Ferstenberg H, Virshup M: The Mirizzi syndrome: Suggested classification and surgical therapy. Surg Gastroenterol. 1982, 1: 219-225.

Finley DS, Hinojosa MW, Paya M, Imagawa DK: Hepatic artery pseudoaneurysm: A report of seven cases and a review of the literature. Surg Today. 2005, 35 (7): 543-547. 10.1007/s00595-005-2987-6.CrossRefPubMed

Title: Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report
Authors: Oliver Anderson
Radwane Faroug
Brian R. Davidson
J. Antony Goode
Publication date: 01-12-2008
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-2-351

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report

Abstract

Introduction

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2008

Hypercalcemia in a patient with disseminated paracoccidioidomycosis: a case report

Pneumopericardium should be considered with electrocardiogram changes after blunt chest trauma: a case report

Non-Hodgkin's lymphoma in a woman with adult-onset Still's disease: a case report

Sigmoid sinus thrombosis presenting with posterior alexia in a patient with Behçet's disease and polycythaemia: a case report

Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report

Management dilemma; a woman with cystic fibrosis and severe lung disease presenting with colonic carcinoma: a case report