{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:18:14Z","timestamp":1792181894581,"version":"4.4.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T00:00:00Z","timestamp":1591747200000},"content-version":"vor","delay-in-days":161,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Mirizzi\u2019s syndrome is a rare but potential complication of long standing gallstone disease, particularly cholecystolithiasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>Being described is a case of a 42 year old patient who presented with right upper quadrant pain. Initially sent home as the pain settled but was diagnosed as Mirrizi\u2019s syndrome on readmission and was managed accordingly. This case report is being presented with the aim of highlighting the importance of Mirizzi\u2019s syndrome and the potential consequences it may bear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Due to lack of symptom specificity, this entity remains undiagnosed preoperatively in majority of the cases. Although safe in expert hands, minimally invasive approach (in selected types) can be challenging and bears the risk of bile duct injuries, with a high probability of conversion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Delays in targeted management may lead to dire consequences ranging from empyema gallbladder to gangrene of gall bladder wall, perforation and frank sepsis. A thorough clinical history and physical examination and assessment in light of clinical investigations can lead to a timely diagnosis and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.06.040","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T11:32:23Z","timestamp":1592220743000},"page":"438-442","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Gallbladder wall perforation secondary to empyema in Mirizzi\u2019s syndrome"],"prefix":"10.1097","volume":"72","author":[{"given":"Awadh","family":"Alqahtani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qurrat Al Ain","family":"Atif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-97-20260114","first-page":"104","article-title":"Acute Mirizzi syndrome","volume":"13","author":"Kelly","year":"2009","journal-title":"JSLS"},{"key":"R2-97-20260114","doi-asserted-by":"crossref","first-page":"67","DOI":"10.14701\/ahbps.2017.21.2.67","article-title":"Mirizzi syndrome: a new insight provided by a novel classification","volume":"21","author":"Pay\u00e1-Llorente","year":"2017","journal-title":"Ann. Hepatobiliary. Surg"},{"key":"R3-97-20260114","doi-asserted-by":"crossref","first-page":"6962090","DOI":"10.1155\/2018\/6962090","article-title":"Mirizzi syndrome: diagnosis and management of a challenging biliary disease","volume":"2018","author":"Clemente","year":"2018","journal-title":"Can. J. Gastroenterol. Hepatol"},{"key":"R5-97-20260114","doi-asserted-by":"crossref","first-page":"274","DOI":"10.4103\/sjg.SJG_6_18","article-title":"Mirizzi\u2019s syndrome: a scoring system for preoperative diagnosis","volume":"24","author":"Tataria","year":"2018","journal-title":"Saudi J. Gastroenterol"},{"key":"R6-97-20260114","doi-asserted-by":"crossref","first-page":"e9691","DOI":"10.1097\/MD.0000000000009691","article-title":"Current trends in management of Mirizzi syndrome","volume":"97","author":"Chen","year":"2018","journal-title":"Medicine (Baltimore"},{"key":"R7-97-20260114","first-page":"323","article-title":"Mirizzi syndrome: prevalence, diagnosis and treatment","volume":"44","author":"Acquafresca","year":"2014","journal-title":"Acta Gastroenterol. Latinoam"},{"key":"R8-97-20260114","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1590\/S0102-67202014000300017","article-title":"Mirizzi syndrome: a surgical challenge","volume":"27","author":"de Souza","year":"2014","journal-title":"Arq. Bras. Cir. Dig"},{"key":"R9-97-20260114","first-page":"e1854","article-title":"Ticking bomb: asymptomatic Mirizzi syndrome","volume":"9","author":"Pak","year":"2017","journal-title":"Cureus"},{"key":"R10-97-20260114","doi-asserted-by":"crossref","first-page":"4639","DOI":"10.3748\/wjg.v18.i34.4639","article-title":"Mirizzi syndrome: history, current knowledge and proposal of a simplified classification","volume":"18","author":"Beltran","year":"2012","journal-title":"World J. Gastroenterol"},{"key":"R12-97-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 Statement: updating consensus surgical case report (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220304430?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220304430?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.06.040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:05:28Z","timestamp":1768395928000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.06.040"}},"subtitle":["An unseen complication. A case report"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.06.040","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}