Current Trends on the Diagnosis and Management of Mirizzi’s Syndrome: A Narrative Review Article

Mirizzi’s syndrome is one of the rare complications of acute cholecystitis, but it is associated with significant morbidity. The diagnosis is difficult, and it is obtained preoperatively in 50% of cases, as the clinical symptoms are non-specific. The diagnosis is usually obtained from endoscopic retrograde cholangiopancreatography (ERCP) or by Magnetic resonance cholangiopancreatography (MRCP). Ultrasound and computerized tomography have a low sensitivity to diagnose this condition. The treatment of Mirizzi’s syndrome depends on its grade. Grades 1 and 2 involve performing a cholecystectomy, grade 3 a subtotal cholecystectomy, and grade 4 may require performing a hepatic-enterostomy or choledochal-enterostomy. We have conducted this review article to examine the diagnosis and management of Mirizzi’s syndrome.