Pediatric Radiology

, 36:980 | Cite as

MRCP diagnosis of Mirizzi syndrome in a paediatric patient: importance of T1-weighted gradient echo images for diagnosis

  • Diana Kaya
  • Musturay Karcaaltincaba
  • Okan Akhan
  • Nuray Uslu
  • Mithat HalilogluEmail author
Case Report


We report a 15-year-old boy with Mirizzi syndrome diagnosed by MR cholangiopancreatography (MRCP). Respiratory-triggered 3D MRCP was performed during free breathing. An impacted gallstone was noted in the infundibulum; this was not visible on T2-weighted images, but was hyperintense on T1-weighted gradient-echo images. This case illustrates the utility of 3D MRCP with parallel imaging in paediatric patients and the importance of T1-weighted gradient-echo images for the diagnosis of impacted gallstones.


Mirizzi syndrome MRI MRCP Gallstone Child 


  1. 1.
    Mirizzi PI (1948) Sindrome del conducto hepatico. J Int Chir 8:731–733Google Scholar
  2. 2.
    Waisberg J, Corona A, de Abreu IW, et al (2005) Benign obstruction of the common hepatic duct (Mirizzi syndrome): diagnosis and operative management. Arq Gastroenterol 42:13–18PubMedCrossRefGoogle Scholar
  3. 3.
    Chan CY, Liau KH, Ho CK, et al (2003) Mirizzi syndrome: a diagnostic and operative challenge. Surgeon 1:273–278PubMedCrossRefGoogle Scholar
  4. 4.
    Csendes A, Dias JC, Burdiles P, et al (1989) Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg 76:1139–1143PubMedCrossRefGoogle Scholar
  5. 5.
    Laing FC, Jeffrey RB (1983) Choledocholithiasis and cystic duct obstruction: difficult ultrasonographic diagnosis. Radiology 146:475–479PubMedGoogle Scholar
  6. 6.
    Barakos JA, Ralls PW, Lapin SA (1987) Cholelithiasis: evaluation with CT. Radiology 162:415–418PubMedGoogle Scholar
  7. 7.
    Choi BW, Kim MJ, Chung JJ, et al (2000) Radiologic findings of Mirizzi syndrome with emphasis on MRI. Yonsei Med J 41:144–146PubMedGoogle Scholar
  8. 8.
    Safar F, Kamura T, Okamuta S, et al (2005) Magnetic resonance T1 gradient-echo imaging in hepatolithiasis. Abdom Imaging 30:297–302PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Diana Kaya
    • 1
  • Musturay Karcaaltincaba
    • 1
  • Okan Akhan
    • 1
  • Nuray Uslu
    • 2
  • Mithat Haliloglu
    • 1
    Email author
  1. 1.Department of RadiologyHacettepe University School of MedicineSihhiyeTurkey
  2. 2.Department of Pediatric GastroenterologyHacettepe University School of MedicineSihhiyeTurkey

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