Abstract
Mirizzi syndrome (MS) is a rare complication of cholelithiasis, resulting from the extrinsic compression of the common hepatic duct or common bile duct by impacted gallstones in the cystic duct or Hartmann's pouch. MS is most commonly observed in the elderly with a long-standing history of gallstones. We present the case of MS type I diagnosed following magnetic resonance cholangiopancreatography (MRCP). Surgical management was performed with laparoscopic cholecystectomy. MS should be considered as a differential diagnosis in elderly patients presenting with asymptomatic obstructive jaundice. Imaging studies such as MRCP and endoscopic retrograde cholangiopancreatography (ERCP) are essential for diagnosing. We present this case to highlight the importance of recognizing hydrops gallbladder caused by cystic duct fibrosis leading to MS.