Jehanzeb Sheikh, Rehan Abbas Khan, Farhan Zaheer, Khalid Ehsan Mallik, Anis Us Zaman, Muhammad Iqbal.
Experience of Mirizzi syndrome in tertiary care hospital.
Pak J Surg Jan ;29(3):169-73.

Objective:To evaluate the diagnostic features, treatment strategies and post operative complications in Mirizzi Syndrome. Design: Prospective observational study. Sett ing and duration: Th e study was conducted in Surgical unit 3, Civil Hospital Karachi from June 2011 to June 2013. Patients and Methods: Our experience with 12 cases with Mirizzi syndrome is presented. All were diagnosed at exploration and managed surgically. Results: Morbidity rate aft er surgery was 58.35% with the one mortality observed in this study. Conclusion: Mirizzi syndrome is rarely diagnosed preoperatively and ultrasound even in experienced hands does not provide any clue to the diagnosis. Th e index of clinical suspicion should be high in long standing cholelithiasis. Surgery provides cure and defi nitive per operative diagnosis.

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