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1 M. S (Surgery), Associate Professor, Department of Surgery, Vardhman Institute of Medical Science, Pawapuri, Nalanda Bihar Email: Rajendra.singh389@gmail.com 2 M. S (Surgery), 2 nd yr. PG student, Department of Surgery, Nalanda Medical College, Patna, Bihar, India 3 M. S (Surgery), Senior Resident, Department of Surgery, Nalanda Medical College, Patna, Bihar, India *Corresponding Author Dr Ranvijay Bharti M.S (Surgery), 2 nd year pg. Student, Department of Surgery, Flat no 5, block 1, New PG. doctors hostel, IDH Colony, Agamkuan, Nalanda Medical College, Patna, Bihar, India. Email: drranvijay@gmail.com Abstract Mirizzi syndrome is a complication of longstanding cholelithiasis. In this there is obstruction of the extra hepatic bile duct by stone/s in the Hartman's pouch or cystic duct (Mirrizi type I) which may erode into the bile duct forming cholecystobiliary fistula (Mirrizi type II). Altered biliary tract anatomy and the associated pathology make cholecystectomy, open or laparoscopic, awareness of this entity and its preoperative diagnosis is of paramount importance to avoid injury to the bile duct during surgery. Improper surgical procedures may lead to long-term stricture formation. The present article reviews the avail-able literature on various aspect of this syndrome including its pathogenesis, diagnosis and recommended management and guidelines.

Mirizzi’s Syndrome management: open and laparoscopic technique