MIRIZZI SYNDROME CAUSED BY XANTHOGRANULOMATOUS CHOLECYSTITIS TREATED BY ENDOSCOPIC BILIARY DRAINNAGE

Abstract

A 84-year-old Japanese female was admitted to our hospital with the primary complaint of jaundice. Mirizzi syndrome due to xanthogranulomatous cholecystitis (XGC) was diagnosed after abdominal ultrasonography, CT scan, and MRCP. Conservative treatments improved the symptoms transiently, but she experienced aggravated hepatic dysfunction again. An endoscopic biliary drainage (EBD) tube was inserted to reduce obstructive jaundice. After EBD, liver function returned to normal, and she has a follow-up visit at this time. Consideraion of EBD is important as a conservative treatment for Mirizzi syndrome due to XGC for elderly patients.