Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report

Mirizzi syndrome associated with hepatic artery pseudoaneurysm: a case report

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Abstract Introduction This is the first case report of Mirizzi syndrome associated with hepatic artery pseudoaneurysm.Case presentation A 54-year-old man presented jumpers with painful obstructive jaundice and weight loss.Computed tomography showed a hilar mass in the liver.Following an episode of haemobilia, angiography demonstrated a pseudoaneurysm of a branch of the right hepatic artery that was embolised.At surgery, a gallstone causing Mirizzi type II syndrome was found to be responsible for the biliary obstruction and a necrotic inflammatory mass and haematoma were found to be extending into the liver.

The mass was debrided and drained, the obstructing stones removed and the bile duct CHROMIC ACTIVE 200 drained with a t-tube.The patient made a full recovery.Conclusion This case highlights another situation where there may be difficulty in differentiating Mirizzi syndrome from biliary tract cancer.