It’s a syndrome. Wards 101 1.10.2019

At wards 101 two patients were discussed with concern for Mirizzi syndrome. Remember this is when you get common hepatic duct obstruction due to external compression or impacted stone in the cystic duct vs Hartmann's pouch. It can present exactly like acute cholecystitis or ascending cholangitis but intervention often leads to laprascopic injury to the … Continue reading It’s a syndrome. Wards 101 1.10.2019