A stone in a hard place: A case report of Mirizzi syndrome and review of literature

Background Mirizzi syndrome is a complication of cholelithiasis in which one or multiple gallstones are impacted in the infundibulum, leading to chronic inflammation of the gallbladder and subsequent pressure on the common bile duct. Case We discuss the case of a 59-year-old male who presented with a chief complaint of painless jaundice. After inconclusive computed tomography (CT), ultrasound (US), and magnetic resonance cholangiopancreatography (MRCP) findings, the patient was eventually diagnosed with Mirizzi syndrome during ERCP. The patient was subsequently treated with a robotic cholecystectomy. Conclusion Historically, standard treatment for Mirizzi syndrome has been open cholecystectomy. More recent evidence suggests robotic cholecystectomy to be a preferred and viable alternative for treatment. This case highlights the difficulty in diagnosis of Mirizzi syndrome and effective treatment with robotic cholecystectomy.