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Concurrent Mirizzi syndrome and choledocholithiasis: imaging features and surgical correlation

Year: 2026

Type: article

Abstract: We describe a case of concurrent Mirizzi syndrome and choledocholithiasis in a woman in her mid-60s. The abnormalities were first identified on abdominal ultrasound and subsequently confirmed with contrast-enhanced computed tomography (CECT) and magnetic resonance cholangiopancreatography (MRCP). Imaging demonstrated extrinsic compression of the common hepatic duct (CHD) by an impacted gallstone at the cystic duct along with concomitant calculi in the distal common bile duct (CBD). The patient underwent open cholecystectomy with CBD exploration, choledochoscopy, and choledochoduodenostomy. This case emphasizes the essential role of cross-sectional imaging in detecting coexisting biliary pathologies and facilitating accurate preoperative diagnosis, which is essential for optimal surgical planning and improved patient outcomes.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2026.05.068

Authors: Fidel Rampersad, Jason Diljohn, Toi Johnson, Dawn-Marie Fields, Sandeep Parbhu, Ravi Maharaj

Institutions: University of the West Indies, University of Trinidad and Tobago

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600