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Obstructive jaundice due to acute acalculous cholecystitis: ‘Mirizzi-like syndrome’
  1. Takashi Sakamoto1,
  2. Alan Kawarai Lefor2 and
  3. Tetsuro Takasaki3
  1. 1Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan
  2. 2Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
  3. 3Department of Gastroenterology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan
  1. Correspondence to Dr Takashi Sakamoto; takac93{at}


A 78 year-old female status post subarachnoid haemorrhage developed abdominal pain and obstructive jaundice. CT scan showed acute cholecystitis and dilation of the intrahepatic ducts. Endoscopic retrograde cholangiography revealed hepatic duct stenosis due to compression by an enlarged gallbladder. No stones were seen in the common hepatic duct and the cystic duct was patent. An endoscopic retrograde biliary drain was placed to relieve the obstructive jaundice due to acute acalculous cholecystitis. Percutaneous transhepatic drainage was performed to treat the acute acalculous cholecystitis. Hepatic duct stenosis was improved on endoscopic retrograde cholangiography performed 19 days after percutaneous transhepatic drainage. It may be reasonable to treat ‘Mirizzi-like syndrome’ non-operatively.

  • pancreas and biliary tract
  • gastrointestinal surgery

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  • Contributors TS and TT conceived the presented idea. AKL supervised the findings of this work. All authors wrote the manuscript. All authors discussed the results and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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