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Abstract

Background: Laparoscopic surgery has been considered the gold standard for the treatment of uncomplicated biliary colic. However, there are certain conditions that increase the risk and complications associated with this procedure in the acute phase, requiring other interventions and procedures. Case Presentation:We present the case of a 78-year-old man admitted to the hospital complainig of severe abdominal pain in the right hypochondrium and intermittent choluria in the last week. Abdominal ultrasound shows no conclusive signs of acute cholecystitis. Given the persistence of abdominal pain and fever, and after surgery was ruled out for urgent intervention, percutaneous transhepatic cholangiography was performed and showed intermittent cystic obstruction due to a large stone. The patient was treated with percutaneous drainage and antibiotics. Delayed laparoscopic surgery was performed successfully. Conclusion:Mirizzi syndrome (MS) is a serious complication of gallstone disease and presents a diagnostic challenge. The aim of this study is to show how identifying a rare underlying cause of common presentation can lead to improved patient outcomes.