Muthuvel Divya, Soundarapandian Anita
Department of Radiodiagnosis, Panimalar Medical College Hospital and Research Institute, Chennai, India.
Sultan Qaboos Univ Med J. 2025 May 2;25(1):146-149. doi: 10.18295/squmj.7.2024.047.
Mirizzi syndrome (MS), a rare complication of gallstones, refers to extrahepatic biliary compression by calculus in the cystic duct or Hartman's pouch and is usually associated with cystic duct abnormalities. Its association with pancreatic divisum (PD) is infrequent, the most common complication of PD being recurrent pancreatitis. We report a 39-year-old female patient who presented to a department of general surgery in Chennai, India, in 2022 with acute abdominal pain. Magnetic resonance cholangiopancreaticography (MRCP) showed calculous cholecystitis with a calculus indenting the cystic duct, causing luminal narrowing of the common hepatic duct (type I), which was associated with type II PD. The association of MS with PD has been rarely described. PD may be one of the factors responsible for bile stasis leading to calculous cholecystitis and its complications. Knowledge of MS and its associations helps in early diagnosis and selection of appropriate treatment management.
Mirizzi综合征（MS）是胆结石的一种罕见并发症，指胆囊管或Hartmann袋内的结石压迫肝外胆管，通常与胆囊管异常有关。它与胰腺分裂症（PD）的关联并不常见，PD最常见的并发症是复发性胰腺炎。我们报告一名39岁女性患者，2022年因急性腹痛就诊于印度金奈的一家普通外科。磁共振胆胰管造影（MRCP）显示结石性胆囊炎，一枚结石压迫胆囊管，导致肝总管管腔狭窄（I型），该患者同时合并II型PD。MS与PD的关联鲜有报道。PD可能是导致胆汁淤积从而引起结石性胆囊炎及其并发症的因素之一。了解MS及其关联有助于早期诊断和选择合适的治疗方案。
