Indocyanine green guided laparoscopic management of Mirizzi syndrome

Abstract

Mirizzi syndrome is a rare condition caused by the obstruction of the common bile duct or common hepatic duct by external compression from multiple impacted gallstones or a single large impacted gallstone in the Hartman’s pouch. A 60-year-old female patient presented with complaints of abdominal pain with deranged liver functions. Mirizzi syndrome was diagnosed after radiological imaging and managed by laparoscopic cholecystectomy. Previously, Mirizzi syndrome was considered to be the absolute contra-indication for laparoscopic cholecystectomy. However, recent advances in radiology with the usage of indocyanine green and increased familiarity of the pathophysiology of the disease have successfully improved its laparoscopic management.