Various strategies have been proposed for water coloring the management of retained calculi within the biliary tree following cholecystectomy.We present a unique case of a cystic duct remnant calculus causing Mirizzi syndrome, only the fourth such case of its kind.An open procedure was planned, however the calculus was eventually extracted endoscopically.
The pathophysiology Mittens and management of Mirizzi syndrome and retained calculi within the cystic duct remnant are discussed along with the merits of a minimally invasive approach.