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Acute acalculous cholecystitis simulating Mirizzi syndrome: a very rare condition.
[carcinoma of the gallbladder]
Mirizzi
syndrome
,
a
rare
complication
of
chronic
cholelithiasis
,
is
caused
by
an
impacted
stone
in
the
cystic
duct
or
the
neck
of
the
gallbladder
.
Patients
present
with
abdominal
pain
,
fever
,
and
obstructive
jaundice
.
The
cholangiographic
finding
is
a
smooth
stricture
caused
by
lateral
compression
of
the
common
hepatic
duct
.
A
similar
appearance
on
cholangiogram
can
result
from
carcinoma
of
the
gallbladder
,
carcinoma
of
the
cystic
duct
,
or
hilar
adenopathy
.
Acute
acalculous
cholecystitis
simulating
Mirizzi
syndrome
is
extremely
rare
.
This
is
the
report
of
such
a
case
in
which
marked
inflammatory
changes
around
the
neck
of
the
gallbladder
likely
caused
significant
mechanical
obstruction
of
the
common
hepatic
duct
.
Diseases
Validation
Diseases presenting
"or hilar adenopathy"
symptom
carcinoma of the gallbladder
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