{"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":1792181894642,"version":"4.4.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,4,7]]},"abstract":"<jats:p>We present the case of a young female with symptoms of biliary colic and a biochemical profile consistent with biliary obstruction. Imaging was suspicious for Mirizzi\u2019s syndrome. Intraoperatively, the patient was found to have a complete intrahepatic gallbladder causing common hepatic duct compression with final pathology confirming acute cholecystitis. We review the embryological development of the gallbladder as well as clinical presentation of Mirizzi\u2019s syndrome. Special consideration for clinical workup and surgical management is discussed.<\/jats:p>","DOI":"10.1136\/bcr-2018-224365","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T11:20:30Z","timestamp":1523618430000},"page":"bcr-2018-224365","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Acute acalculous cholecystitis of an intrahepatic gallbladder causing Mirizzi\u2019s syndrome"],"prefix":"10.1136","volume":"2018","author":[{"given":"Vanessa","family":"Falk","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Bigam","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurpal","family":"Sandha","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,4,13]]},"reference":[{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.1","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/00129689-200402000-00007","article-title":"Ectopic gallbladder: laparoscopic cholecystectomy","volume":"14","author":"Chowbey","year":"2004","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.2","first-page":"1","article-title":"Two congenital anomalies in one: an ectopic gallbladder with phrygian cap deformity","volume":"2014","author":"Rafailidis","year":"2014","journal-title":"Case Rep Radiol"},{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.3","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1159\/000462964","article-title":"Two anomalies in one: a rare case of an intrahepatic gallbladder with a cholecystogastric fistula","volume":"11","author":"Ali","year":"2017","journal-title":"Case Rep Gastroenterol"},{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.4","first-page":"323","article-title":"[Mirizzi syndrome: prevalence, diagnosis and treatment]","volume":"44","author":"Acquafresca","year":"2014","journal-title":"Acta Gastroenterol Latinoam"},{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.5","doi-asserted-by":"crossref","first-page":"170","DOI":"10.21037\/hbsn.2016.11.01","article-title":"Updates in Mirizzi syndrome","volume":"6","author":"Valderrama-Trevi\u00f1o","year":"2017","journal-title":"Hepatobiliary Surg Nutr"},{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.6","doi-asserted-by":"crossref","first-page":"3177","DOI":"10.18203\/2349-2902.isj20173912","article-title":"Cholelithiasis in an intrahepatic gallbladder","volume":"4","author":"Chandrasekar","year":"2017","journal-title":"Int Surg J"},{"key":"2025082722155209000_2018.apr13_1.bcr-2018-224365.7","doi-asserted-by":"crossref","unstructured":"Audi P , Noronha F , Rodrigues J . 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