Mirrizi’sSyndrome- Stone in Gallbladder Remnant Resulting in High Biliary Stricture- a challenging scenario
Mirrizi’sSyndrome- Stone in Gallbladder Remnant Resulting in High Biliary Stricture- a challenging scenario A 34yearold gentleman, a known case of diabetes and hypertension, underwent surgery for symptomatic gallstones in December 2018 at an outside hospital. The surgery was started laparoscopically but converted to open procedure. As per the surgeon’s notes the reason for conversion was a technically difficult cholecystectomy. The histopathology of the removed gallbladder was suggestive of chronic cholecystitis. Postoperatively a CT guided drainage of intra-abdominal collection was done. Thereafter, he recovered from the procedure and was asymptomatic. He visited our department with an ultrasound report showing a stone in gallbladder remnant with dilated biliary system. The liver function tests were suggestive of biliary obstruction (raised ALP and GGT). MRCP was suggestive of a gallbladder remnant along with large calculus (2 cm) in GB bed with compression at biliary conflue