Özet:

Mirizzi's syndrome refers to common bile duct obstruction resulting from compression by a gallstone impacted in the cystic duct or neck of the gallbladder. Herein we report a 48-year-old man with Mirizzi's syndrome presenting six years after cholecystectomy. The patient applied to our department with complaints of fever, vomiting and jaundice. Liver biochemical tests revealed enzyme elevations in cholestatic pattern. Endoscopic retrograde cholangiopancreatography (ERCP) showed dilatation of the choledochus, and the remnant of the cystic duct was long and distally placed. There was a filling defect in the cystic duct. A stone was removed from the cystic duct via balloon extraction after endoscopic sphincterotomy. The clinical and laboratory findings returned to normal after the procedure. After 11 months, the cholestatic findings reappeared. A stone was detected and removed again in ERCP. The patient has been well at follow-up for 15 months. Mirizzi's syndrome must be considered in cholecystectomized patients with long and distally placed cystic duct stump if extrahepatic cholestasis is present.

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