# A Pain in the Neck of the Gallbladder: Mirizzi Syndrome

## TL;DR

Mirizzi syndrome, a gallbladder condition caused by gallstones, can be managed with stent placement and percutaneous cholecystostomy in high-risk patients.

## Contribution

This paper presents a novel management approach for Mirizzi syndrome in a high-risk heart transplant candidate.

## Key findings

- Stent placement and percutaneous cholecystostomy were used to manage Mirizzi syndrome in a high-risk patient.
- The case highlights the effectiveness of non-surgical interventions for Mirizzi syndrome in patients with high surgical risk.

## Abstract

Mirizzi syndrome (MS) occurs in cholelithiasis when gallstones obstruct the cystic duct or neck of the gallbladder, leading to compression of the common hepatic duct (CHD) and potentially causing ductal obstruction. This may result in the formation of a cholecystocholedochal fistula. Open cholecystectomy is the standard treatment. We present a case of MS in a heart transplant candidate, managed with stent placement and percutaneous cholecystostomy due to his high surgical risk. His course was complicated by stent migration. This case underscores how MS can be effectively managed with stent placement and percutaneous cholecystostomy.