Introduction:

A review of the medical records of patients with Mirizzi syndrome treated at the Hospital de Clínicas during the period from January 2006 to December 2015 was made, describing their presentation and the importance of the complexity in their management.

Objective:

To determine the prevalence of Mirizzi syndrome in patients operated by biliary pathology and show their management in the II Cátedra de Clínica Quirúrgica del Hospital de Clínicas de San Lorenzo.

Patients and method:

Observational, descriptive, retrospective cross-sectional study. Age, sex, diagnosis of cholelithiasis, clinical picture, complementary examinations, surgical management, hospital stay, morbidity and mortality are described.

Results:

Twenty-one patients were diagnosed. The most prevalent being types I and II. An average of 52 years. All had abdominal pain, jaundice (52%). No patient was diagnosed prior to surgery. In Type I, eight cholecystectomies were performed with different approaches. Type II, were terminated in their entirety by conventional route. The other classifications had a specific surgical treatment

Conclusion:

Mirizzi syndrome is a complex pathology that is difficult to diagnose preoperatively. Ultrasound is not specific for this pathology. All cases were detected intraoperatively.

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