Síndrome de Mirizzi, una causa infrecuente de ictericia obstructiva

Mirizzi Syndrome, a rare cause of obstructive jaundice Abstract Abdominal pain is a common cause of consultation in primary care. The variabi- lity in disease conditions with this pain complicates differential diagnosis. The main causes of right upper quadrant pain are bile (biliary colic, cholecystitis and cholangitis). Mirizzi syn- drome is a complication that occurs in approximately 1% of patients with cholelithiasis. It consists of the impaction of calculi in the neck of the gallbladder or cystic duct that compres- ses the common hepatic duct, which may erode and create a cholecystocholedochal fistula. It clinically appears as obstructive jaundice, frequently associated with gallbladder cancer. It is diagnosed by ultrasound, confirmed by endoscopic retrograde cholangiopancreatography, per- cutaneous cholangiography or resonance-cholangiopancreatography. Treatment is surgical and can be performed by laparoscopic or open surgery, depending on the staging.